NHCNE Newport Use Case Volume II - Military Health System

NHCNE NewportUse Case Volume II

Table of Contents

Page

A. Data Call 3

B. Relevant Section 703 Report Detail 14

C. DHA TRICARE Health Plan Assessment 16

D. Independent Government Assessment (Network Insight) 21

E. P4I Measures 40

F. JOES-C Data 57

G. MTF Mission Brief 59

H. MTF Portfolio 72

Part A: NHCNE Newport Data Call (1 of 11)

MTF Name MTF DMIS ID Assigned Deployable Capability Officer Enlisted

NHCNE, NEWPORT 0100 4TH MARDIV H&S CO 1/24 MAR 1 0




NHCNE, NEWPORT 0100 4TH MAW MWSS 472 DET B MWSG 47 1 0

NHCNE, NEWPORT 0100 4TH MLG A SURG CO 4MEDBN 1 0

NHCNE, NEWPORT 0100 DET B MWSS-471 MAG-41 1 0

NHCNE, NEWPORT 0100 EXPED MED FAC (EMF 150) BRAVO (CA, SAN DIEGO) 0 1

NHCNE, NEWPORT 0100 EXPED MED FAC (EMF 150) CHARLIE (MD, BETHESDA) 0 2

NHCNE, NEWPORT 0100 EXPED MED FAC (EMF 150) GOLF 1 0

NHCNE, NEWPORT 0100 EXPED MED FAC (EMF 150) GOLF (SC, BEAUFORT) 2 2

NHCNE, NEWPORT 0100 EXPED MED FAC (EMF 150) JULIET (VA, PORTSMOUTH) 0 3

NHCNE, NEWPORT 0100 EXPED MED FAC (EMF 150) KILO (NC, CAMP LEJEUNE) 5 0

NHCNE, NEWPORT 0100 EXPED MED FAC (EMF 150) MIKE (FL, JACKSONVILLE) 0 1

NHCNE, NEWPORT 0100 EXPED MED UNIT 10 ALPHA (VA, PORTSMOUTH) 1 0

NHCNE, NEWPORT 0100 EXPED MED UNIT 10 CHARLIE (CA, SAN DIEGO) 1 0

NHCNE, NEWPORT 0100 JAL FHCC BLD DNR CTR (IL, GREAT LAKES) 6 0

NHCNE, NEWPORT 0100 MWSS-472 MAG-49 1 0

NHCNE, NEWPORT 0100 NMCB TWO SEVEN 1 0

NHCNE, NEWPORT 0100 SITE SPT MARIETTA H&S BN 0 1

NHCNE, NEWPORT 0100 T-AH 20 COMFORT MED TREATFAC (VA, NORFOLK) 3 0

Grand Total 53 10

Mission Readiness


Affiliated Location Name Installation Mission Medical Units assigned to mission

NAVSTA Newport Auxiliary Security Force 14 - E6 and below, 2 days per month.

NAVSTA Newport SAPR Roving Watch 1 - E7 or O3 and 1 - E6, 15 days per month.

NAVSTA Newport CACO Watch 1 - E7 or O3, 1 wk/2 mos.

NAVSTA Newport Range coverage 1 HM once a month

NAVSTA Newport Closed Point of Distribution 24 Officer and Enlisted personnel

NAVSTA Newport Funeral Detail/Color Guard 10 Enlisted personnel

NAVSTA Newport Health Promotion Services: Wellness outreach 1 Officer and 3 Civilian personnel

NAVSTA NewportPreventive Medicine Services: Food Sanitation, Pest Control Surveys for installation child care facilities and food establishments 1 Officer and 2 Enlisted personnel

USCG - various transient ships Shipboard sanitation surveys 2 Officer and 2 Enlisted personnel

Installation


Affiliated Location UIC Line Units Served Unit Mission

Total Personnel Comments

62661 *Officer Training CommandNewport

Train 2/3 of all Naval Officers87

Initial Entry to Naval Service Screening and Immunizations; Fit-to-Train; Acute Care; Dental; Readiness; Special Duty Physicals

66128 Naval Academy Prepatory School Pre-entry school for Naval Academy2221

Initial Entry to Naval Service Screening and Immunizations; Fit-to-Train; Acute Care; Dental; Readiness

53103J34 Marine Detachment Newport Training for USMC Aviation Support 22 Acute Care; Dental; Medical Readiness

63190 Surface Warfare Officer SchoolTraining Pipeline for Surface Warfare Officers 127 Acute Care; Medical Readiness

53103K82 Supply School Training Pipeline for Supply Officers 61 Special Duty Physicals; Acute Care; Medical Readiness

53103JC3 International Legal Studies Advanced Legal Training Course 1 Acute Care; Medical Readiness

3476B Legal Justice School Training Pipeline for JAG 14 Acute Care; Medical Readiness

00124 War CollegeSenior Officer Advanced Master's Program 1641 Acute Care; Medical Readiness

66604 Naval Undersea Warfare Center R&D for Naval Systems 22 Special Duty Physicals

30665 Coastal Riverine Suadron8 Maritime Security Operations 60AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

30713 EOD Mobile Unit 12Commander, Navy Region Mid-Atlantic EOD 7

AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

30486 STU NAVWARCOL Educate and develop future leaders 30AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

3204B NAVSTA Newport Security Security for NAVSTA Newport 22AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

Line Mission Elements – NAVSTA NEWPORT; DMIS ID 0100 (1 of 3)

*Officer Training pushes through over 2,800 officers per year arriving at intervalsof approximately 3 weeks with 500-750 students on deck at any given time.

1Organic Medical Personnel – One (1) Enlisted




31697 Naval Leadership and Ethics Center Senior Officer Leadership Program 21AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

53103KC8 Naval Legal Service OfficeLegal services to service and family members 33


35400 Navy Band NortheastMusical support for military ceremonies 27


61821 Naval Operational Support Center Supports Navy reserve units 22AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

43728 Senior Enlisted Academy Senior Enlisted Leadership Program 18AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

32411 NAVSTA Newport Security Security for NAVSTA Newport 36AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

3476B CENSERVSUPP Newport Operational support 18AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

41745 ONI DET Naval War CollegeNaval War College intelligence expertise 7


41918 SWOSCOLOM FMS Newport Specialty Pipeline Training 12AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

43996 STU NAVSCSCOL Newport Specialty Pipeline Training 30AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

45514 DEFSECCOPAGY DILS Service support 3AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

45992 Enlisted Aid Newport Service support 2AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health





47115 CRS 8 Co. A 1st PLTBoat, security, sensor, and C4 assets worldwide 26


53103J56 Naval War College (perm) Specialty Pipeline Training 8AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

53103K26 US Naval Justice School Specialty Pipeline Training 1AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

53103K55 Officer Training Command Specialty Pipeline Training 1AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

53103LAW MARCOR REP US Naval War Specialty Pipeline Training 2AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

55849 2ND NAV EXP LOG REGProvides expeditionary logistic capabilities 11


55850 NR COMPACFLT 0322A Det Specialty Pipeline Training 9AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

55859 NR SURGEMAIN WACO Specialty Pipeline Training 19AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

55860 CRS 1 Co D, 1ST PLTBoat, security, sensor, and C4 assets worldwide 41


62741 NAVSCSCOL Newport Specialty Pipeline Training 23AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health

62750 NAVJUSTSCOL Newport Specialty Pipeline Training 19AD enrolled to MTF (provide medical and dental services); PHAs; Behavioral Health



Name of Program Number in Program

Program Length Associated locations

BLS (to include BLS-Instructor, Heart Saver, and HS-Instructor) 521 4 hours

NHCNE Newport, NAVSTA Fire, NOSC Newport, CRS-8, NOSC Quincy, Center for Service Support, Defense Institute of International Legal Studies, EOD Mobile Unit 12, Fleet Logistics Center – Newport, Marine Corps Detachment Newport, Naval Academy Preparatory School, Naval Communications (NCTAMS), Naval Criminal Investigative Service – Newport, Naval Justice School, Naval Leadership and Ethics Center, Naval Legal Service Office, Naval Undersea Warfare Center, Naval War College, Naval Facilities Public Works – Newport, Navy Band Northeast, Naval Supply Corps School, Office of Naval Intelligence, Officer Training Command – Newport, Senior Enlisted Academy, Space and Naval Warfare Systems Center –Atlantic, Surface Warfare Officers School Command, US Army Reserve Center – Newport, USCGC Cutter Ida Lewis, USCG Cutter Juniper, USCG Cutter Willow, USCG Cutter Oak, USCG Patrol Ship Tiger Shark, Naval Facilities Engineering Command, Officer Candidate School, Officer Development School, 443rd Civil Affairs Battalion (Army), NAVSTA MWR, Ney Hall Galley, NAVSTA Police and Security, USS Constitution

TCCC 120 1 weekNHCNE Newport, NBHC Groton, NBHC Portsmouth, NBHC Saratoga Springs, USCG Sector SE New England, USCG Academy Police Forces, NAVSTA Newport, Security, Coastal Riverine Squadron EIGHT, OHSU Det-D

HMSB 203 2 days NHCNE Newport, NBHC Groton, NBHC Portsmouth, NBHC Saratoga Springs

ACLS 84 1 day NHCNE Newport, NBHC Groton, NBHC Portsmouth, NBHC Saratoga Springs, NUMI, NOSC Quincy, NOSC Newport, NAVSTA Fire

PALS 12 1 day NHCNE Newport, NBHC Groton, NBHC Portsmouth, NBHC Saratoga Springs

Council for Accreditation in Occupational Hearing Conservation 12 1 week

NHCNE Newport, NBHC Groton, NBHC Portsmouth, NBHC Saratoga Springs

Medical Education and Training


MTF Medical Specialties supporting EFMP

Number of EFMP Supported

Family practice 25

Pediatrics 34

Exceptional Family Member Program

Network Specialties Supporting EFMP


Behavioral Therapy ABA 9

Cardiology 1

Child Psychiatry 7

Child Psychology 7

Cleft Palate Team 1

Dermatology 4

Developmental Medicine 8

Dietician 5

Endocrinology 5

Family Practice 16

Fertility 1

Gastroenterology 2

General Surgery 1

Genetics 1

Hematology/Oncology 4

Nephrology 1

Neuro Surgery 1

Neurology 3



OB/Gyn 3

Occupational Therapy 11

Opthalmology 5

Oral Surgery 2

Orthopedics 1

Otorhinolaryngology 2

Pediatric Cardiology 3

Pediatric Endocrinology 3

Pediatric Gastroenterology 2

Pediatric Neurology 5

Pediatric Opthalmology 2

Pediatric Orthopedics 1

Pediatric Otorhinolaryngology 1

Pediatric Pulmonlogy 2

Pediatrics 27

Physiatrist 1

Physical Therapy 6



Plastic Surgery 1

Podiatrist 1

Psychiatry 2

Psychology 3

Pulomonology 3

Radiation Oncology 1

Respiratory Therapy 2

Rheumatology 1

Social Work 6

Speech Therapy 10

Urology 1


Partnering Agency Description/Topic Agreement Type

Reimbursable/Non-Reimbursable

Benefit, Readiness,

or BothPurpose/Intent

Newport Hospital Sexual Assault Forensic Examination Program MOU Non-Reimbursable Benefit Outlines SAFE examination

procedures

RI Air National Guard, 13th Weapons of Mass Destruction, Civil Support Team

Medical Non-Commissioned Officer Training and Support MOU Non-Reimbursable Both

To broaden the scope of care and to maintain qualifications/required clinic time

VA Medical Center Providence Radiology Technician Training VA Sharing Agreement Non-Reimbursable Readiness


RI Blood Center Blood Donations MOU Non-Reimbursable Benefit Blood donation drives at NHCNE

Naval Station Newport Corpsman Support MOU Non-Reimbursable Benefit Corpsman support provided at firearms training

Naval Undersea Medical Institute (NUMI) /Navy Medicine Operational Training Command (NMOTC)

Submarine Independent Duty Corpsman Support MOU Non-Reimbursable Both


Navy Operational Support Center Quincy

Biomedical Equipment Repair and Support MOA Non-Reimbursable Benefit Biomedical equipment maintenance

and repair

Kent Hospital Various provider specialties TAA Non-Reimbursable Both Clinical rotations

VA Medical Center Providence/Veteran Benefits Administration

Integrated Disability Evaluation Systems MOA Non-Reimbursable Benefit Integrated Disability Evaluation

Screenings

Boston College Nursing Students TAA Non-Reimbursable Both Student rotations

Bryant University Physician Assistant Students TAA Non-Reimbursable Both Student rotations

George Washington University Nurse Practitioner Students TAA Non-Reimbursable Both Student rotations

Shared Agreements

Originator of Support Agreements: NHC New England Clinic: NHCNE, Newport




Benefit, Readiness,


New England College of Optometry Optometry Students TAA Non-Reimbursable Both Student rotations

Salve Regina University Nursing Students TAA Non-Reimbursable Both Student rotations

Southern College of Optometry Optometry Students TAA Non-Reimbursable Both Student rotations

Southern Connecticut State University Exercise Science Students TAA Non-Reimbursable Both Student rotations

Uniformed Services University of the Health Sciences (USUHS)

Medical and Graduate Nursing Students TAA Non-Reimbursable Both Student rotations

University of New England PharmD Students TAA Non-Reimbursable Both Student rotations

University of New England PharmD Students TAA Non-Reimbursable Both Student rotations

University of Rhode Island Nursing and Nurse Practitioner Students TAA Non-Reimbursable Both Student rotations

U.S.S. Constitution Independent Duty Corpsman Support MOA Non-Reimbursable Benefit


Officer Training Command Newport (OTCN) Certified Athletic Trainer Support MOU Non-Reimbursable Benefit

To provide physician support, medical direction and oversight for OTCN Athletic Trainers

Naval Facilities (NAVFAC) Command Atlantic Facilities Support DON7600 Reimbursable Benefit

Addresses reimbursable facilities services/support provided by NAVFAC

Naval Facilities (NAVFAC) Command Mid-Atlantic Facilities Support DON7600 Reimbursable Benefit

Addresses reimbursable facilities services/support provided by NAVFAC

Shared Agreements





Benefit, Readiness,


Naval Supply Systems Fleet Logistics Command (NAVSUP FLC)

Postal Services DON7600 Reimbursable Benefit Addresses reimbursable postal services provided by NAVSUP FLC

Navy Exchange Service Command (NEXCOM) Internet (Wi-Fi) Services DON7600 Reimbursable Benefit

Addresses reimbursable wireless internet services provided by NEXCOM, via a third party provider

American Red Cross Volunteer Services MOU Non-Reimbursable BenefitAugment staff with ARC volunteers in order to increase efficiency in services provided to beneficiaries

Navy Operational Support Center Newport Space Utilization & Clinical Support MOU Non-Reimbursable Benefit Authorizes NOSC Newport to utilize

clinic spaces during drill weekends

Community College of Rhode Island Dental Hygiene Students TAA Non-Reimbursable Both Student rotations

Lake Erie College of Osteopathic Medicine Internal Medicine Students TAA Non-Reimbursable Both Student rotations

Salve Regina University Health Care Administration and Management Students TAA Non-Reimbursable Both Student rotations

University of Massachusetts Amherst

Nursing, Nurse Practitioner and Public Health students TAA Non-Reimbursable Both Student rotations

University of Rhode Island Pharmacy Students TAA Non-Reimbursable Both Student rotations

Newport Hospital External Resource Sharing Agreements ERSA/MOU Non-Reimbursable Both Specialty providers performing

procedures in local civilian hospitals

Kent Hospital External Resource Sharing Agreements ERSA/MOU Non-Reimbursable Both Specialty providers performing

procedures in local civilian hospitals

Shared Agreements





Benefit, Readiness,


Johnson & Wales University Culinary Nutrition and Physician Assistant Students TAA Non-Reimbursable Both Student rotations

Naval Academy Preparatory School and Columbia University

Social Work Students TAA Non-Reimbursable Both Student rotations

University of New England Physician Assistant and Osteopathic Medicine Students TAA Non-Reimbursable Both Student rotations

University of Saint Joseph Doctor of Pharmacy Students TAA Non-Reimbursable Both Student rotations

Wellness Workdays Dietetic Internship Registered Dietician Students TAA Non-Reimbursable Both Student rotations

Coastal Riverine Squadron 8 (CORIVRON8)

Independent Duty Corpsman Support MOA Non-Reimbursable Both


Naval War College Independent Duty Corpsman Support MOA Non-Reimbursable Both


Naval Academy Preparatory School (NAPS) Certified Athletic Trainer Support MOA Non-Reimbursable Benefit

To provide physician support, medical direction and oversight for NAPS Athletic Trainers

Home and Health Care Training Services of New England

Phlebotomy and Medical Assistant Students TAA Non-Reimbursable Both Student rotations

Officer Training Command Newport (OTCN) Clinical Psychologist Support MOU Non-Reimbursable Benefit

To provide clinical psychologist as SME to support OTCN training program

Shared Agreements


Part B: Relevant Section 703 Report Detail

Facility Clinic Specialty Encounters Evaluated Visits RVU

Estimated Network Ability

to Absorb Workload

NHC CORPUS CHRISTIBEHAVIORAL HEALTH CLINIC 2,687 677 5,213 Red

NHC CORPUS CHRISTI PT/OT 5,785 1,466 13,638 Green

NHC NEW ENGLAND OPHTHALMOLOGY CLINIC 34 0 136 Green

NHC NEW ENGLAND OTOLARYNGOLOGY CLINIC 924 781 2,417 Green

NHC NEW ENGLAND DERMATOLOGY CLINIC 1,895 1,473 5,932 Green

NHC NEW ENGLAND GENERAL SURGERY CLINIC 2,685 1,446 5,501 Green

NHC NEW ENGLAND ORTHOPEDIC CLINIC 5,823 3,543 10,296 Green

NHC NEW ENGLANDBEHAVIORAL HEALTH CLINIC 6,461 3,832 12,936 Green

NHC NEW ENGLAND PT/OT 8,056 2,990 22,329 Green

NHC NEW ENGLAND PRIMARY CARE CLINIC 12,207 6,902 18,137 Green

NHC PATUXENT RIVERBEHAVIORAL HEALTH CLINIC 5,081 2,072 10,578 Green

Inpatient AmbulatoryProviderWorkload

Adjustment

Markets Reported wRVUAdjusted w/RVU Reported wRVU

Adjusted w/RVU

Inpatient only

Combined Amb &Inpt

0096 – AF-C-72nd MEDGRP-TINKER 443 514 108,643 108,643 16% 0.1%0097 – AF-C-97th MEDGRP-ALTUS 132 155 35,009 35,009 17% 0.1%

0100 – NHC NEW ENGLAND 301 337 69,680 69,680 12% 0.1%

0106 – AF-C-28th MEDGRP-ELLSWORTH 176 210 64,911 64,911 20% 0.1%

0112 – AF-C-7th MEDGRP-DYESS 409 466 80,355 80,355 14% 0.1%

Part B: Relevant Section 703 Report Detail

Facility Military Service

Product Line

Direct Care Full Cost

DirectCare SRVU (GPCI)

Direct Care Full Cost /

SRVU

Direct Care SRVUCost Ratio

N OTHER $1,662,237 $31,361 $53 1.5

NHC CORPUS CHRISTI

N MH $2,085,053 $5,291 $394 11.0

N OPTOM $1,412,508 $15,229 $93 2.6

N ORTHO $1,090,377 $12,245 $89 2.5N OTHER $1,554,954 $17,440 $89 2.5

NHC NEW ENGLAND

N DERM $523,593 $6,250 $84 2.3

N ENT $385,808 $2,302 $168 4.7

N MH $1,925,228 $12,171 $158 4.4

N OPTOM $1,278,678 $19,967 $64 1.8

N ORTHO $1,996,578 $27,157 $74 2.1

N OTHER $2,436,022 $35,493 $69 1.9

N SURG $3,164,390 $11,607 $273 7.6

NHC PATUXENT RIVER

N IMSUB $0 $1 $0 0.0

N MH $2,258,770 $9,861 $229 6.4

N OPTOM $552,962 $9,875 $56 1.6

N ORTHO $1,517,890 $19,090 $80 2.2

N OTHER $1,537,714 $21,756 $71 2.0

Part C: DHA TRICARE Health Plan Assessment





Pre-Decisional Document – For Official Use Only

21

MHS Section 703 WorkgroupNew England Network Assessment

Discussion

30 April 2019

Part D: Independent Government Assessment (Network Insight)


Note: To estimate the geographic market within a 30-minute drive time of the MTF, an average driving speed of 30 MPH was assumed, and thus a 15 mile radius around the Zip code of the MTF was determined as the geographic market

2: Includes 48 Medicare Eligible MTF Prime beneficiaries1: Includes 33 Medicare Eligible MTF Prime beneficiaries

Scenario: NHC New England has been proposed for conversion from an Outpatient / Ambulatory clinic to a Service Member and Occupational Health Clinic

Impacted Beneficiaries:Specialty OP (if applicable): MTF Prime + Reliant + Medicare Eligible (OP Workload) (MTF Service Area ID)PC: Non-AD MTF Prime + Plus (PRISM Area ID)

Shading is based on population within the zip code and map scale

Network Assessment: New England (1 of 2)

Primary Care Impacted

Beneficiaries

Within 30 min

Within 60 min

Outside 60 min

Non-AD MTF Prime1 4,293 67 0

Plus 230 1 0

Total 4,523 68 0

Specialty OP Impacted

Beneficiaries

Within 30 min

Within 60 min

Outside 60 min

MTF Prime2 6,737 693 0

Reliant 1,189 74 0

Medicare Eligible 4,133 3,000 0

Total 12,059 3,767 0

• 100% of non-AD MTFPrime & Plus beneficiariesare living within the 30-minute drive-timeboundary for PrimaryCare, concentrated aroundthe MTF location

• 100% of MTF Prime, Reliant& Medicare Eligiblebeneficiaries are livingwithin the 60-minute drive-time boundary forSpecialty Care


The potential impact of new MHS Beneficiaries on the total population is well below the 10% threshold for both population groups and thus will not materially impact supply and demand of services in the market

Network Assessment: New England (2 of 2)

Specialty OP: MTF Prime, Reliant, and Medicare Eligible Population

Primary Care: Non-AD MTF Prime, and Plus Population

Age Group MHS Target Population % of Total MHS Target Population Population Total % of Population Total Target Population Introduced0 to 4 519 11.3% 26,147 4.6% 2.0%

5 to 14 1,108 24.1% 62,054 10.9% 1.8%

15 to 17 236 5.1% 20,687 3.6% 1.1%

18 to 24 337 7.3% 57,871 10.2% 0.6%

25 to 34 443 9.6% 63,770 11.2% 0.7%

35 to 44 489 10.7% 67,760 11.9% 0.7%

45 to 64 1,228 26.8% 163,811 28.7% 0.8%

65 and over 231 5.0% 107,686 18.9% 0.2%

Total 4,591 100.0% 569,786 100.00% 0.8%

Age Group MHS Target Population % of Total MHS Target Population Population Total % of Population Total Target Population Introduced0 to 4 544 3.4% 127,234 5.3% 0.4%

5 to 14 1,156 7.3% 287,124 11.9% 0.4%

15 to 17 259 1.6% 93,485 3.9% 0.3%

18 to 24 1,270 8.0% 232,004 9.6% 0.5%

25 to 34 1,993 12.6% 293,180 12.2% 0.7%

35 to 44 1,672 10.6% 302,889 12.6% 0.6%

45 to 64 2,069 13.1% 666,649 27.7% 0.3%

65 and over 6,862 43.4% 403,451 16.8% 1.7%

Total 15,8261 100.0% 2,406,016 100.00% 0.7%

1: There is one individual of an unknown age reflected in the total Impacted Beneficiaries


New England: Network Adequacy Analysis (1 of 4)

Primary Care

• The above geography represents a 15-mileradius, which was used due to this geographybeing an urban area

• The identified drive time includes 45 zip codes,one complete county (Newport), and fourpartial counties (Kent, Washington, Bristol,Providence)

• Of the 4,591 impacted primary carebeneficiaries attributed to New England, 100%are represented within the 15-mile radiusboundary around the MTF

= 15-mile (30-minute) boundary

= Density of beneficiaries by zip code

Key


S E C T I O N 2 : N E T W O R K A D E Q U A C Y E V A L U A T I O N

SpecialtyNumber of Practice Sites

Number of Physicians

Family Practice 61 101General Practice 2 2Internal Medicine 52 99Internal Medicine/Pediatrics 1 1Pediatrics 27 99Grand Total 143 302



The commercial primary care network within the 30-minute drive-time standard should be capable of accepting the specific demand from the 4,591 impacted beneficiaries

*


*

*

• The surplus of Internal Medicine providerscan cover the anticipated shortage inGeneral/Family Practice. Given this, the market should be capable of acceptingincremental demand from impactedbeneficiaries

Resulting Shortage/Surplus

• The majority of primary are providers are located in Providence county, which iswhere ~1% of impacted beneficiariesreside and is adjacent to Newport countywhere the MTF is located

Current Supply (Not Limited to TRICARE)

• Population growth over the last five years(2014 to 2018) has averaged less than 1%,and is projected to increase slightly overthe next 5 years to 1.5%

Forecasted Demand



Specialty Care



Key

• The above geography represents a 40 mile radius,which was used due to this geography being anurban area

• The identified drive time includes 224 zip codes,five complete counties (Newport, Bristol,Providence, Kent, Washington), and six partialcounties (Plymouth, Norfolk, Windham, NewLondon, Barnstable, Worcester)

• Of the 15,826 impacted Specialty carebeneficiaries attributed to New England, 100%are represented within the 40-mile radiusboundary around the MTF





Dermatology 48 91Psychiatric 179 456Orthopedic Surgery 68 183Otolaryngology 30 88Grand Total 325 818



The commercial specialty care network within the 60-minute drive-time standard should be capable of accepting the specific demand from the 15,826 impacted beneficiaries

*


*

*

• The majority of specialty providersare located in Providence andNorfolk counties, which is where~12% of impacted beneficiariesreside

Current Supply (Not Limited to TRICARE)

• There is a strong surplus of Psychiatricproviders within the drive-time radiusand relatively small shortages in theother key specialties.

• Given this, the market should be capableof accepting incremental Psychiatry demand from impacted beneficiaries,however, given slight shortages in otherspecialties, the market should bemonitored over time to ensure adequacy

Resulting Shortage/Surplus

Forecasted Demand

• Population growth over the last five years(2014 to 2018) in the 60 minute drive timehas averaged 1.9% and is projected toincrease slightly over the next five years to2.3%


New England: Targeted Practice Profiles (1 of 8)

Based on the number of primary care practices accepting TRICARE or other government-sponsored insurance and offering extended hours of care, a large number of providers should meet MHS access standards

Primary Care Practice Profiles

S E C T I O N 3 : T A R G E T E D P R A C T I C E P R O F I L E S

Hospital AlignmentNumber of Practice Sites


(Aligned to Multiple Hospitals) 37 64

Saint Anne’s Hospital 25 46

South County Health 15 35

Kent Memorial Hospital 23 30

Rhode Island Hospital 8 27

Southcoast Hospitals Group Inc 7 26

Women & Infants Hospital 5 21

Newport Hospital 7 19

St Luke’s Hospital 5 13

Memorial Hospital Rhode Island 2 7

Tobey Hospital 2 7

Roger Williams Medical Center 4 4

Providence VA Medical Center 1 1

Boston Children’s Hospital 1 1

Our Lady Of Fatima Hospital 1 1

Grand Total 143 302

Practice Site Size Number of Practice SitesAverage Number of Physicians per Site

Small (1-4) 124 1.5

Medium (5-9) 19 6.4

Grand Total 143 2.1

Practice Name Monthly Extended Hours

Kent Hospital Internal Medicine 105.0NHCC Medical Associates Medical Clinical Services 105.0

Carewell Urgent Care 21.0

Ocean State Urgent Care 15.0

TruMed 15.0

Atmed Treatment Center 15.0

Family Doctor Plus 9.0

Prima Care PC 9.0

East Bay Pediatrics 8.0

North Kingstown Family Practice 8.0

Grand Total 310.0

HS Alignment Number of PracticesNumber of Physicians

Other 25 56

Unknown 111 225

Umass memorial health care 1 1

Lifespan healthcare systems 5 18Va new england healthcare system 1 2

Grand Total 143 302



Based on the number of Dermatology Practices accepting TRICARE or other government-sponsored insurance, a good number of practices should meet MHS access standards


Dermatology Practice Profiles

Practice Site SizeNumber of Practice Sites

Average Number of Physicians per Site

Small (1-4) 45 1.5

Medium (5-9) 3 7.7

Grand Total 48 1.9

Practice NameMonthly Extended Hours

RI Skin Doctor 8.0Skin Pros 5.0School Street Dermatology 5.0Northeast Medical Group 5.0Dermatology Services 3.0South County Dermatology 3.0Dermatology Associates Of The South Shore 2.0Skin & Within 1.0Newport Dermatology Services 1.0Grand Total 33.0



(Aligned to Multiple Hospitals) 11 23Rhode Island Hospital 7 12Norwood Hospital 2 11South Shore Hospital 1 7Roger Williams Medical Center 4 5Signature Healthcare Brockton Hospital 1 4Lawrence Memorial Hospital 4 4Beth Israel Deaconess Hospital Plymouth 2 4William W Backus Hospital 1 3South County Health 1 2Kent Memorial Hospital 1 2St Luke'S Hospital 2 2Memorial Hospital Rhode Island 2 2Falmouth Hospital 1 2Our Lady Of Fatima Hospital 2 2Westerly Hospital 1 1Providence Va Medical Center 1 1Day Kimball Healthcare Inc 1 1Sturdy Memorial Hospital 1 1Morton Hospital 1 1Southcoast Hospitals Group Inc 1 1Grand Total 48 91

HS AlignmentNumber of Practices Number of Physicians

Other 7 12Unknown 38 76Lifespan healthcare systems 1 1

Yale new haven health system 2 2Grand Total 48 91



Based on the number of Psychiatry practices accepting TRICARE or other government-sponsored insurance and offering extended hours of care, most providers should meet MHS access standards

Psychiatry Practice Profiles


Practices without a physician count have either opted to not participate in data.medicare.gov or have declined not to answer survey questions

Practice Site Size Number of Practice SitesAverage Physicians per Site

Small (1-4) 155 1.6Medium (5-9) 16 6.4Large (10+) 8 12.4Grand Total 179 2.5


Butler Hospital 420.0Highpoint Treatment Center 117.0Adcare Of Rhode Island 105.0Cape Cod & Islands Community Mental Health Center 105.0Taunton State Hospital Psychiatry 105.0Arbour-Fuller Hospital Psychiatry 105.0Our Lady Of Fatima Hospital Psychiatry 105.0Senior Behavioral Health Center 105.0Gosnold At Cataumet 105.0Good Samaritan Senior Behavioral Medicine 105.0Stanley Street Treatment & Resource Center 105.0Grand Total 1,482.0



(Aligned to Multiple Hospitals) 105 224Butler Hospital 9 37Bradley Hospital 4 26Rhode Island Hospital 6 23Landmark Medical Center 3 21Our Lady Of Fatima Hospital 6 18The Miriam Hospital 4 15Taunton State Hospital 5 11Roger Williams Medical Center 1 10Good Samaritan Medical Center 4 8Southcoast Hospitals Group Inc 2 7Norwood Hospital 1 6Windham Hospital 1 5Day Kimball Healthcare Inc 2 4William W Backus Hospital 2 4Natchaug Hospital 2 4Morton Hospital 1 4St Luke'S Hospital 3 4Other 6 7Westerly Hospital 1 3Signature Healthcare Brockton Hospital 2 3Arbour Hospital 1 2Hartford Hospital 1 2Arbour Fuller Hospital 1 2Saint Anne'S Hospital 2 2Newport Hospital 1 1Cape Cod & Islands Community MH 1 1Bridgewater State Hospital 1 1Falmouth Hospital 1 1Grand Total 179 456

HS AlignmentNumber of Practices


Other 23 71(Aligned to Multiple Health Systems) 138 321Hartford healthcare 4 8Partners healthcare system 1 2Steward health care system 1 2Lifespan healthcare systems 10 50Caregroup healthcare system 2 2Grand Total 179 456



Based on the number of Orthopedic Surgery Practices accepting TRICARE or other government-sponsored insurance, a good number of practices should meet MHS access standards


Orthopedic Surgery Practice Profiles

Practice Site SizeNumber of Practice Sites

Average Physicians per Site

Small (1-4) 59 1.5

Medium (5-9) 6 5.8

Large (10+) 3 19.0

Grand Total 68 2.7


Orthopedics Rhode Island & Physical Therapy Foundry 11.0Rhode Island Hand & Orthopedic Center 5.0Mystic Medical Center 5.0Jack P Mourad MD 2.0Iulia Circiumaru Rheumatology & Internal Medicine LLC 2.0Rheumatology Associates 1.0Grand Total 26.0



Rhode Island Hospital 7 61(Aligned to Multiple Hospitals) 19 27The Miriam Hospital 3 18Sturdy Memorial Hospital 1 9Roger Williams Medical Center 4 7St Luke'S Hospital 2 7Morton Hospital 4 7Saint Anne'S Hospital 3 6Falmouth Hospital 3 5Day Kimball Healthcare Inc 2 5Brigham & Womens Hospital 1 5Westerly Hospital 3 4Good Samaritan Medical Center 2 4Southcoast Hospitals Group Inc 1 3William W Backus Hospital 3 3Newport Hospital 2 3Milford Regional Medical Center 2 3Our Lady Of Fatima Hospital 1 1Beth Israel Deaconess Hospital Plymouth 1 1Lawrence Memorial Hospital 1 1Beth Israel Deaconess Medical Center West 1 1Kent Memorial Hospital 1 1Landmark Medical Center 1 1Grand Total 68 183

HS AlignmentNumber of Practices


Other 10 23(Aligned to Multiple Health Systems) 49 133Partners healthcare system 3 8Lifespan healthcare systems 3 16Va new england healthcare system 1 1Yale new haven health system 1 1Wellforce health system 1 1Grand Total 68 183




Practice Site Size Number of Practice Sites Average Physicians per Site

Small (1-4) 24 1.8

Medium (5-9) 4 6.0

Large (10+) 2 10.0

Grand Total 30 2.9


Plymouth Ear Nose Throat 13.0Southcoast Physicians Group Ear Nose & Throat 3.0Grand Total 16.0



Rhode Island Hospital 3 17

Memorial Hospital Rhode Island 2 12Signature Healthcare Brockton Hospital 1 10

St Luke'S Hospital 3 9

Kent Memorial Hospital 4 7Beth Israel Deaconess Hospital Plymouth 2 5

(Aligned to Multiple Hospitals) 2 5

Windham Hospital 1 4

Lawrence Memorial Hospital 1 4

Westerly Hospital 1 2

Newport Hospital 1 2

Sturdy Memorial Hospital 1 2

William W Backus Hospital 1 2

Saint Anne'S Hospital 2 2

Southcoast Hospitals Group Inc 1 1Edith Nourse Rogers Memorial Va Hospital 1 1

Falmouth Hospital 1 1

Landmark Medical Center 1 1

Day Kimball Healthcare Inc 1 1

Grand Total 30 88

HS Alignment Number of Practices Number of Physicians

Other 2 8

Unknown 28 80

Grand Total 30 88

Otolaryngology Practice Profiles

There is a larger portion of Otolaryngology Practices likely to accept TRICARE beneficiaries, but there are a limited number of practices offering extended hours. This leaves some concern about MHS access standards being met


While ability and willingness to accept TRICARE patients must be confirmed, the vast majority of providers in the New England market are accepting government-sponsored insurance, and many are already contracted to provide services to TRICARE beneficiaries

Primary Care Providers

Currently Contracted - The provider organization has a history of submitting In-Network claims to TRICARE High Likelihood* – The provider organization has a history of submitting Out-of-Network claims to TRICAREMedium Likelihood – Providers are accepting Medicare and/or MedicaidLow Likelihood – The provider organization has a history of not accepting Government Sponsored Health Plan patients

*Note: The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and “In-Network” designation during theclaims process. These provider claims are marked as Out-of-Network by default



Likelihood of offering services to TRICARE members Number of Sites

Sum of Physicians

Contracted with TRICARE 66 167High Likelihood* 13 19Medium Likelihood 56 105Low Likelihood 8 11Grand Total 143 302

Contracted Practice Sample SpecialtyPrima Care PC Family PracticeSouthcoast Physicians Group Family PracticeNHCC Medical Associates Medical Clinical Services Internal Medicine

Swansea Pediatrics PediatricsPediatric Associates Of Fall River PediatricsOcean State Pediatrics PediatricsBarrington Pediatric Associates Inc PediatricsBald Hill Pediatrics PediatricsBrown Dermatology Inc DermatologySkin Pros DermatologySouthcoast Physicians Group Dermatology DermatologySchool Street Dermatology DermatologySurgical Cosmetic Dermatology DermatologyRichard N Waldman MD PC DermatologyMemorial Hospital Rhode Island Dermatology Dermatology

Aspire Dermatology Dermatology

Likelihood of offering services to TRICARE members

Number of Sites

Sum of Physicians


Dermatology Providers



Otolaryngology Providers

Psychiatric Care Providers


*Note: The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and “In-Network” designation during the claimsprocess. These provider claims are marked as Out-of-Network by default




Number of Sites

Sum of Physicians


Contracted Practice Sample SpecialtyChild & Family Psychiatry PsychiatricQuality Behavioral Health PsychiatricJohn C Corrigan Mental Health Center PsychiatricMiriam Hospital Psychiatry PsychiatricRhode Island Hospital Psychiatry PsychiatricRhode Island Hospital Emergency Psychiatry PsychiatricWomens Behavioral Medicine PsychiatricGateway Healthcare Lifespan Partner PsychiatricRhode Island Ear Nose & Throat Physicians Inc Otolaryngology

University Otolaryngology OtolaryngologySouthcoast Physicians Group Ear Nose & Throat Otolaryngology

Ear Nose & Throat Medical Surgery Group OtolaryngologySouthcoast Ear Nose & Throat Fall River OtolaryngologyAnthony J Barone MD Otolaryngology


Number of Sites

Sum of Physicians

Contracted with TRICARE 10 41High Likelihood* 6 22Medium Likelihood 14 25Grand Total 30 88



Orthopedic Surgery Providers


*Note: The current TPA providing claims processing services for the TRICARE FOR LIFE beneficiary designation do not provide and “In-Network” designation during the claimsprocess. These provider claims are marked as Out-of-Network by default



Contracted Practice Sample SpecialtyUniversity Orthopedics Inc Orthopedic SurgerySouthcoast Physicians Group Orthopedics Orthopedic Surgery

Rhode Island Hospital Orthopedic Orthopedic SurgeryOrthopedics Rhode Island Blackstone Orthopedic SurgeryOrthopedics Rhode Island & Physical Therapy Foundry Orthopedic Surgery

Prima Care Orthopedics Orthopedic SurgeryOrtho Rhode Island Blackstone Orthopedic SurgerySouthcoast Physicians Group Hand Surgery Orthopedic Surgery

University Orthopedic Orthopedic SurgeryOrthopedics Rhode Island Foundry Orthopedic SurgeryLouis A Corvese MD Orthopedic SurgeryNewport Orthopedics Orthopedic Surgery


Number of Sites

Sum of Physicians


Appendix A1. Alternate Slides

Network Assessment: New EnglandS E C T I O N 1 : F A C I L I T Y / B E N E F I C I A R Y I D E N T I F I C A T I O N A N D P R O P O S E D S C E N A R I O

The table below breaks out the potentially impacted TRICARE beneficiaries by county of residence that could potentially be impacted by facility closure

Primary Network Adequacy Evaluation Secondary Network Adequacy Evaluation

Massachusetts Rhode IslandCounty Bristol Norfolk Plymouth Worcester Bristol Kent Newport Providence Washington

Primary Care (Non-

AD MTF Prime, Plus

206 0 0 0 159 266 3,395 49 516

4% 0% 0% 0% 3% 6% 74% 1% 11%

Specialty OP (MTF Prime,

Reliant, Medicare Eligible)

2,098 15 575 9 503 1,662 7,404 1,957 1,603

13% 0% 4% 0% 3% 11% 47% 12% 10%

Drive time boundary is the county that encompasses zip codes within drive time radius from MTF

Primary Geography for Evaluation:

Primary Care Services: Newport, WashingtonSpecialty Care Services: Bristol, Kent, Newport,

Providence, Washington

Secondary Geography for Evaluation:

Primary Care Services: Bristol, Kent, ProvidenceSpecialty Care Services: Plymouth, Bristol

Worcester

Windham

New London

Kent

Washington

Newport

BristolBarnstable

Plymouth

Norfolk

Kent

Washington

Newport

Bristol



Primary Care




Key

• The above geography represents a 15-mileradius, which was used due to this geographybeing an urban area

• The identified drive time includes 45 zip codes,one complete county (Newport), and fourpartial counties (Kent, Washington, Bristol,Providence)

• Of the 4,591 impacted primary carebeneficiaries attributed to New England, 100%are represented within the 15-mile radiusboundary around the MTF



Family Practice 61 101General Practice 2 2Internal Medicine 52 99Internal Medicine/Pediatrics 1 1Pediatrics 27 99Grand Total 143 302



Specialty Care




Key

• The above geography represents a 40 mile radius,which was used due to this geography being anurban area

• The identified drive time includes 224 zip codes,five complete counties (Newport, Bristol,Providence, Kent, Washington), and six partialcounties (Plymouth, Norfolk, Windham, NewLondon, Barnstable, Worcester)

• Of the 15,826 impacted Specialty carebeneficiaries attributed to New England, 100%are represented within the 40-mile radiusboundary around the MTF



Dermatology 48 91Psychiatric 179 456Orthopedic Surgery 68 183Otolaryngology 30 88Grand Total 325 818

Part E: P4I Measures (1 of 17)

















Part F: JOES-C 12-months Rolling Data (1 of 2)

NHC New England Direct Care

Part F: JOES-C 12-months Rolling Data (2 of 2)

NHC New England Market Purchased Care

Part G: MTF Mission Brief

Naval Health Clinic New England - Newport

Naval Health Clinic New England – Newport RI

WG 703


Naval Health Clinic New EnglandNewport, Rhode Island

Proudly Serves: 53 Tenant Commands and Activities Naval War College Naval Station Newport Officer Training Command Newport (OTCN)Senior Enlisted Academy (SEA)

Naval Academy Prep School (NAPS) Naval Undersea Warfare Center Navy Supply School Surface Warfare Officers School (SWOS)


Clinical Staffing

**#Onboard/#Authorized


Clinic Services

Dental General Dentistry Comprehensive Dentistry Prosthodontist

Clinical Support Laboratory Pharmacy Radiology Physical Therapy

Administrative Patient Admin Facilities Education and Training Quality Management Human Resources MID Material Management

Health Services Medical Home Port Student Medical Unit

OTCN Flight Surgery

Special Duty Physicals Officer Training Command

Support Behavioral Health/SARP Medical Readiness Clinic /

Deployment Health Orthopedic Surgery Oral & Maxillofacial Surgery Podiatry Chiropractic

Public Health Occupational Health Industrial Hygiene Preventive Medicine Audiology Optometry


Beneficiary Population

Beneficiary Category Beneficiaries Served

Active Duty Enrolled to NHC 2,464*

Must-See Active Duty – Enrolled ElsewhereUtilization = FY 18 Visits/4

1,802**

Active Duty Family Members 2,688*

Retirees and Retiree Family Members 2174*

TRICARE Plus 247*

Local Civilian Staff 5,143***

Total Population Served 14,518Data Sources:* Enrollment: M2 DEERS – Jan 19** Must-See AD: M2 CAPER – FY18*** Civilian Staff: Industrial Hygiene Reporting – FY 18


Dental Services

• Maintains Dental Readiness for 2,538 patients• Additional 2,283 must-see patients treated last year (mostly

reservists/national guard)• Performs over 2,000 initial exams for officer candidates from OTCN

annually• Patient Encounters

– FY18 = 12,537• Procedures Performed FY 18

– Patient = 37,112– Laboratory = 2,909


Health Services

• Medical Home Port– 2,601 Active Duty and Operational Forces beneficiaries– 5,109 Dependents and Retirees– 7,710 Total Enrollees– FY18 = 42,527 encounters

• Surgical Services– Provides General Surgery*, Orthopedic Surgery, Podiatry*, Oral Surgery, and

Dermatology* specialty services (*future billet cuts/loss of service due to skillmaintenance and POM 20/21 billet reductions)

– No intrinsic OR; surgeries performed at civilian partner hospitals (Kent County andNewport Hospitals) via ERSA agreement

– Travel to BHC Groton to ensure support of operational units


Health Services (continued)• Student Medical unit

– Provides direct support to OTCN with throughput of 2,800 students per year– Accession of majority of naval officers (other than ROTC or Academy graduates)– Schedule driven by OTCN; work weekends, early hours (0330), inclement weather– Atypical military training environment; officer candidates are new to naval service and

require extensive screening and rapid identification of duty limiting issues– Ongoing Fit-to-train / Fit-for-duty assessments essential prior to commissioning– >6900 must-see encounters within last year– Sports Medicine/SMART Clinic embedded with OTCN to facilitate evaluations and rapid

return-to-training for musculoskeletal injuries

• Medical Readiness Clinic- in addition to routine medical readiness:– Conducts special duty physicals for new officer candidates at OTCN– Supports Aviation, Submarine, Nuclear Power, SPECWAR/Spec ops training pipeline– New classes arrive every 3 weeks with commissioning/graduation 12 weeks later– Single Flight surgeon billet with 100% of time dedicated to special physicals– Undersea Medical Officer travels from Groton to complete special duty physicals for

officer candidates entering diving, submarine, or nuclear training pipelines


Health Services (continued)

• Behavioral Health (BH) Encounters = 5,690 encounters (FY18)• Active Duty: 4,778• AD Dependents: 434• Retirees and others: 478• Ten to fifteen homicidal/suicidal safety checks per month

– Active Duty only FY19– Receive referrals from over 50+various commands throughout New England to

include National Guard, Reservists, Army, and Air Force– 12.75 day wait time for routine evaluation (standard <7 days)

• Psychiatry next available for new patients is six weeks• Psychology and Social work is three weeks

– Referral wait times (non-Active Duty):• 2-3 months for Psychiatry• 1 month for all other BH (Social Worker, Psychologist, Behavioral Health counselors)


Public Health Services

• Public Health encounters‒ FY18 = 22,047 encounters

‒ Immunizations = 12,210‒ Optometry = 3526‒ Hearing Conservation = 3,472‒ Audiology = 1,632‒ Occupational Health = 857‒ Nutrition & Wellness = 350

• Occupational Health– Occupational Health, Industrial Hygiene, and Audiology departments support 53 commands

throughout installation and region, including Naval Undersea Warfare Center (NUWC)– Audiology critical in readiness pipeline for flight/aerospace candidates, Staff Corps officers, and

hearing conservation program– IH survey and surveillance services across the northeast to Navy & USMC (AD & Reserve) sites– Highly successful NME SOHME audit in April 2018, receiving a commendable evaluation of Safety,

Occupational Medicine, Environmental Health, Audiology and Industrial Hygiene programs


Public Health Services (continued)

• Preventative Medicine– Preventive Medicine and pre-deployment force health protection support to Naval War College,

OTCN, Defense Institute of International Legal Studies, Coastal Riverine Squadron 8, USCG cutters,Army Reserve Units, other line schools (SWOS, SEA)

– Currently assisting Public Works Department with response to water quality concerns (Lead,Legionella)

• Health Promotion & Wellness– Outreach to 11 tenant schools to provide tailored nutrition and wellness sessions, contributing to

improved student readiness– Excellence in health promotion recognized through selection for the Blue H Award, Gold Star

• Impact to Naval Station Newport Mission– Public health readiness support to Officer pipeline, NUWC research and development, various

training and reserve units– Closed Point of Distribution influenza exercise, doubling turnout from FY17 (1200 immunizations)

and improving tenant command partnership in EM pandemic response planning– Recognized by Public Health Center for exceptional wellness collaboration, educating tenant schools

and holding workshops to enhance risk communication


Major Takeaways

• OTCN is primary operational mission in Newport– New classes arrive every 3 weeks throughout the year– Medical support cannot be gapped due to criticality for multiple training pipelines– Prior to graduation/commissioning of officer candidates fitness for duty / special physicals

must be completed accurately• Behavioral Health

– Recently lost Public Health Service psychiatrist with no replacement– Essential service with urgent needs at times; critical for OTCN support– Behavioral health and musculoskeletal are the top two chief medical concerns with our patients

• Surgical Services– Expect decrease in billets and services over time– Orthopedic surgery vital to support OTCN and NAPS Athletics– Musculoskeletal injuries/evaluations rank as one of top complaints for our population– Operating room access via External Resource Sharing Agreements at civilian partner hospitals

• War College/NAPS– These are both high profile commands. War College provides senior officer training and NAPS

prepares students for the Naval Academy

Part H: MTF Portfolio

NAVAL HEALTH CLINIC NEW ENGLAND

1FOUO

Table of Contents

2

Section Slide #Overview………………………………………….…………….3Inpatient Care………………………………..….……….….4Ambulatory Care…………………………..….……………7Pharmacy……………………………………………………..21Radiology……………………………………………………..38Laboratory……………………………………………………47Staffing…………………………………………..….………..58Eligible Population and Enrollment………………66

FOUO

NHC New England – Overview

# of Buildings and Age1: 1, 22Avg # of Encounters per day2:

ER or Immediate Care3: No

1 Source: DHA / Facilities Management Division2 Source: M2 CAPER, MEPRS B only, ER (BIA) and Immediate Care (BHI) omitted, Monday-Friday only3 Source: M2 CAPER, ER (BIA) or Immediate Care (BHI) coded

3

Tmt DMIS ID Tmt DMIS ID Name 2014 2015 2016 2017 20180035 NBHC GROTON 462 505 515 485 4660100 NHC NEW ENGLAND 410 429 414 425 4040321 NBHC PORTSMOUTH 138 142 144 143 1400328 NBHC SARATOGA SPRINGS 42 49 51 51 59

FOUO

Inpatient Care

4Return to TOC

FOUO

NHC New England – Prime/Plus EnrollmentInpatient Care1

5FOUO

0100 NHC NEW ENGLAND Prime/Plus Enrollees Treated in Direct Care

FY 2016 FY 2017 FY 2018

DC Disps DC CMIDC Cost

per RWP3 DC Disps DC CMIDC Cost


per RWP3

MED NMC CAMP LEJEUNE 2 0.6221 7,495$ 2 0.5231 5,280$ 2 0.9152 13,553$ NMC PORTSMOUTH 1 0.7414 4,898$ 2 0.8344 17,712$ 2 0.6565 14,123$ NMC SAN DIEGO 5 0.6189 9,294$ 2 0.5446 10,071$ 2 0.7742 20,898$ WALTER REED NATL MIL MED CNTR 4 0.8992 8,196$ 1 0.7079 13,362$ 3 1.7054 18,535$

SURG NMC PORTSMOUTH 2 2.0166 7,737$ 2 1.0108 11,381$ 1 5.6426 9,344$ NMC SAN DIEGO 4 1.5199 9,600$ 5 1.1459 9,514$ 1 2.3823 9,615$ WALTER REED NATL MIL MED CNTR 4 3.7204 10,572$ 2 1.5127 13,267$ 1 1.2694 17,306$

OB NMC CAMP LEJEUNE 2 0.5635 15,463$ NMC PORTSMOUTH 2 0.5441 13,004$ NMC SAN DIEGO 2 0.6979 18,188$ 1 0.4135 25,368$

NEWBORN NMC PORTSMOUTH 2 0.1641 18,602$ NMC SAN DIEGO 2 0.4619 3,654$ 1 0.1954 6,931$ 1 2.2146 9,105$

MH AMC MADIGAN-LEWIS 3 0.4410 29,001$ AMC TRIPLER-SHAFTER 2 0.6823 10,647$ FT BELVOIR COMMUNITY HOSP-FBCH 1 0.4517 47,397$ 3 0.5963 70,577$ NMC PORTSMOUTH 3 0.7176 32,385$ 5 0.5595 18,122$ 5 0.6640 19,695$ NMC SAN DIEGO 1 0.3416 6,601$ 2 0.5912 23,345$ WALTER REED NATL MIL MED CNTR 3 0.7216 43,574$ 2 0.5646 56,905$

Total/Overall 49 1.0728 12,794$ 35 0.7617 14,062$ 42 0.9671 20,161$

Product Line Tmt DMIS ID Name

0100 NHC NEW ENGLAND Prime/Plus Enrollees Treated in Purchased Care

FY 2016 FY 2017 FY 2018PC

Adms PC CMIPC Paid

per RWP2PC

Adms PC CMIPC Paid

per RWP2PC

Adms PC CMIPC Paid

per RWP2

MED 305 0.8443 9,106$ 343 0.8690 9,846$ 278 0.9010 9,663$ SURG 231 2.2230 10,013$ 271 2.5871 10,030$ 188 2.5539 10,286$

OB 461 0.5604 10,499$ 400 0.5202 10,757$ 363 0.5859 10,707$ NEWBORN 433 0.6497 11,171$ 378 0.3463 9,889$ 339 0.4080 11,606$

MH 7 0.6953 8,603$ 15 1.3305 8,099$ 12 0.5847 8,568$ Total/Overall 1,437 0.9155 10,173$ 1,407 0.9652 10,059$ 1,180 0.9225 10,382$

Product Line

1 Source: Direct Care: MDR SIDR (Detail truncated for low volume; Total/Overall includes truncated volume); Purchased Care: MDR TED-Institutional. Prime/Plus enrolled to the Parent Site. Includes “fix” to newborn enrollment information.

2 Purchased Care includes 13% increase for overhead burdening.3 FY16-17 Direct Care costs based on respective FY MEPRS expenses; FY18 based on FY17 costs, adjusted for inflation.

NHC New England – Prime/Plus EnrollmentInpatient Care1 – AD Only

6FOUO

0100 NHC NEW ENGLAND Prime/Plus Enrollees Treated in Direct Care - AD ONLY

FY 2016 FY 2017 FY 2018

DC Disps DC CMIDC Cost



per RWP3

MED NMC CAMP LEJEUNE 1 0.9043 6,431$ 2 0.5231 5,280$ NMC PORTSMOUTH 1 0.7414 4,898$ 2 0.8344 17,712$ 1 0.8430 3,996$ NMC SAN DIEGO 5 0.6189 9,294$ 2 0.5446 10,071$ 2 0.7742 20,898$ WALTER REED NATL MIL MED CNTR 2 0.9692 6,081$ 1 0.7079 13,362$ 2 2.1672 19,875$

SURG NMC PORTSMOUTH 1 1.8752 8,988$ 2 1.0108 11,381$ NMC SAN DIEGO 4 1.5199 9,600$ 3 1.1278 10,335$ 1 2.3823 9,615$ WALTER REED NATL MIL MED CNTR 3 4.6509 10,011$ 2 1.5127 13,267$

OB NMC SAN DIEGO 2 0.6979 18,188$ MH AMC MADIGAN-LEWIS 3 0.4410 29,001$

AMC TRIPLER-SHAFTER 2 0.6823 10,647$ FT BELVOIR COMMUNITY HOSP-FBCH 1 0.4517 47,397$ 3 0.5963 70,577$ NMC PORTSMOUTH 3 0.7176 32,385$ 4 0.4582 22,716$ 5 0.6640 19,695$ NMC SAN DIEGO 1 0.3416 6,601$ 2 0.5912 23,345$ WALTER REED NATL MIL MED CNTR 3 0.7216 43,574$ 2 0.5646 56,905$

Total/Overall 39 1.1371 12,710$ 26 0.8077 14,727$ 24 0.8952 27,007$

Product Line Tmt DMIS ID Name

0100 NHC NEW ENGLAND Prime/Plus Enrollees Treated in Purchased Care - AD ONLY

FY 2016 FY 2017 FY 2018PC

Adms PC CMIPC Paid

per RWP2PC

Adms PC CMIPC Paid

per RWP2PC

Adms PC CMIPC Paid

per RWP2

MED 64 0.8505 8,108$ 86 0.9004 9,058$ 67 0.9121 8,564$ SURG 75 2.5041 9,374$ 100 2.6392 9,162$ 65 2.6984 11,011$

OB 44 0.5456 10,441$ 44 0.5463 10,035$ 49 0.5985 10,719$ MH 1 0.4738 9,101$ 6 2.5287 7,687$ 6 0.5302 8,318$

Total/Overall 184 1.4496 9,211$ 236 1.6125 9,138$ 187 1.4386 10,392$

Product Line

1 Source: Direct Care: MDR SIDR (Detail truncated for low volume; Total/Overall includes truncated volume); Purchased Care: MDR TED-Institutional. Prime/Plus enrolled to the Parent Site. Includes “fix” to newborn enrollment information.


Ambulatory Care

7Return to TOC

FOUO

NHC New England – Direct Care Appointments byAppointment Status1

81 Source: M2 Appointment, includes MEPRS Codes B**, FBI, and FBN. FOUO

2016 - # Appts

2016 - % Total

2017 - # Appts

2017 - % Total

2018 - # Appts

2018 - % Total

2016 - # Appts

2016 - % Total

2017 - # Appts

2017 - % Total

2018 - # Appts

2018 - % Total

2016 - # Appts

2016 - % Total

2017 - # Appts

2017 - % Total

2018 - # Appts

2018 - % Total

2 Kept 75,362 47% 69,673 47% 62,348 43% 47,796 37% 43,918 34% 38,400 31% 17,979 38% 19,310 40% 20,340 43%3 Canceled 18,077 11% 17,317 12% 18,297 13% 15,077 12% 13,980 11% 13,314 11% 4,438 9% 5,014 10% 5,082 11%4 No Show 5,166 3% 4,772 3% 4,111 3% 2,677 2% 2,899 2% 2,368 2% 1,390 3% 1,991 4% 2,055 4%5 Walk In 21,140 13% 21,289 14% 19,940 14% 33,795 26% 35,138 27% 38,220 31% 15,035 32% 13,965 29% 12,950 27%6 Sick Call 3 0% 4 0% 904 1% 143 0% 371 0% 4 0% 11 0% 7 Telcon 38,136 24% 35,854 24% 37,095 26% 28,926 22% 31,730 25% 29,021 24% 8,385 18% 7,720 16% 6,786 14%8 LWOBS 162 0% 163 0% 94 0% 116 0% 93 0% 83 0% 86 0% 141 0% 123 0%9 Admin 691 0% 220 0% 397 0% 391 0% 357 0% 486 0% 174 0% 483 1% 146 0%10 Occ-Svc 164 0% 278 0% 1,290 1% 219 0% 189 0% 158 0% 38 0% 146 0% 214 0%Grand Total 158,901 149,570 143,572 129,901 128,447 122,421 47,529 48,781 47,696

Appointment Status

0035 - NBHC GROTON 0100 - NHC NEW ENGLAND 0321 - NBHC PORTSMOUTH

2016 - # Appts

2016 - % Total

2017 - # Appts

2017 - % Total

2018 - # Appts

2018 - % Total

2 Kept 6,795 48% 6,996 48% 7,483 44%3 Canceled 1,175 8% 1,380 10% 1,940 11%4 No Show 301 2% 364 3% 432 3%5 Walk In 2,015 14% 1,957 13% 3,747 22%6 Sick Call 4 0% 7 Telcon 3,929 28% 3,799 26% 3,389 20%8 LWOBS 6 0% 4 0% 21 0%9 Admin 4 0% 2 0% 10 Occ-Svc 1 0% Grand Total 14,226 14,506 17,012

Appointment Status

0328 - NBHC SARATOGA SPRINGS

NHC New England – Direct Care Appointments byAppointment Type1

91 Source: M2 Appointment, includes MEPRS Codes B**, FBI, and FBN. FOUO

2016 - # Appts

2016 - % Total

2017 - # Appts

2017 - % Total

2018 - # Appts

2018 - % Total

2016 - # Appts

2016 - % Total

2017 - # Appts

2017 - % Total

2018 - # Appts

2018 - % Total

2016 - # Appts

2016 - % Total

2017 - # Appts

2017 - % Total

2018 - # Appts

2018 - % Total

24HR 21,471 14% 21,635 14% 17,174 12% 18,816 14% 19,132 15% 22,919 19% 3,173 7% 2,979 6% 2,922 6%ACUTE 731 0% 477 0% 10 0% 772 1% 1,037 1% 97 0% 97 0% 2 0%FTR 41,191 26% 42,959 29% 48,311 34% 30,490 23% 29,817 23% 29,332 24% 12,533 26% 9,709 20% 8,310 17%GRP 8,721 5% 5,011 3% 559 0% 1,058 1% 762 1% 1 0% 21 0% 91 0% PROC 8,818 6% 7,874 5% 8,287 6% 7,073 5% 7,034 5% 6,858 6% 2,244 5% 2,127 4% 3,819 8%ROUT 1,803 1% 1,175 1% 81 0% 819 1% 579 0% 687 1% 395 1% SPEC 16,706 11% 19,592 13% 29,252 20% 17,185 13% 19,106 15% 33,366 27% 5,735 12% 13,441 28% 25,460 53%T-CON* 40,044 25% 37,439 25% 39,898 28% 30,304 23% 32,809 26% 29,945 24% 8,758 18% 8,082 17% 7,183 15%WELL 19,416 12% 13,408 9% 23,384 18% 18,171 14% 14,281 30% 11,860 24% Grand Total 158,901 149,570 143,572 129,901 128,447 122,421 47,529 48,781 47,696

Appt Type Group


2016 - # Appts

2016 - % Total

2017 - # Appts

2017 - % Total

2018 - # Appts

2018 - % Total

24HR 1,839 13% 1,918 13% 2,016 12%ACUTE FTR 3,539 25% 3,600 25% 3,626 21%GRP PROC ROUT SPEC 3,168 22% 3,875 27% 7,884 46%T-CON* 4,028 28% 3,889 27% 3,486 20%WELL 1,652 12% 1,224 8% Grand Total 14,226 14,506 17,012

Appt Type Group


NHC New England – FY18 Direct CareAmbulatory Encounters1

101 Source: M2 CAPER, includes MEPRS Codes B**, FBI, and FBN.

Seen Telcon Total % of Total Seen Telcon Total % of Total Seen Telcon Total % of TotalDERM 794 121 915 0.86% ENT 411 50 461 0.43% IMSUB 658 520 1,178 0.98% 263 87 350 0.33% MH 16,188 2,817 19,005 15.85% 5,116 2,207 7,323 6.91% 1,087 790 1,877 4.68%OPTOM 3,940 78 4,018 3.35% 3,470 66 3,536 3.34% 2,166 1 2,167 5.40%ORTHO 9,928 0 9,928 8.28% 10,210 348 10,558 9.96% 1,263 0 1,263 3.15%OTHER 12,831 86 12,917 10.77% 22,271 76 22,347 21.08% 20,516 46 20,562 51.26%PC 35,659 33,684 69,343 57.83% 32,794 25,785 58,579 55.26% 8,236 6,005 14,241 35.50%SURG 3,025 499 3,524 2.94% 1,615 318 1,933 1.82% TOTAL 82,229 37,684 119,913 76,944 29,058 106,002 33,268 6,842 40,110

PRODUCT LINE


FOUO

Seen Telcon Total % of TotalDERM ENT IMSUB MH OPTOM ORTHO OTHER 1,625 0 1,625 11.12%PC 9,604 3,388 12,992 88.88%SURG TOTAL 11,229 3,388 14,617

PRODUCT LINE


NHC New England – Direct Care Ambulatory Surgery1

111 Source: M2 CAPER, based on the Same Day Surgery Flag. Based on Parent Tmt DMIS ID.2 Based on the Optum grouping (e.g., CPT codes 20000-29999 are for the Musculoskeletal System). Only the 1st procedural CPT investigated. FOUO

This facility did not report any workload coded Same Day Surgery.

NHC New England – FY18 Direct Care Ambulatory Surgery1

Top 20 Procedure Codes

FOUO121 Source: M2 CAPER, based on the Same Day Surgery Flag. Based on Parent Tmt DMIS ID. Only Procedure 1 analyzed. Prov Agg Total RVU is for the entire

encounter.

This facility did not report any workload coded Same Day Surgery.

NHC New England – Ambulatory Workload and Cost1

FOUO13

DC PC DC PC DC PC2

Encounters ServicesRVU /

EncountersRVU /

ServicesFull Cost / RVU

Amount Paid / RVU

PC 155,155 175,849 1.24 1.18 215$ 49$ FY OBGYN 0 13,670 0.00 1.77 0$ 63$

20183 MH 28,205 73,629 1.68 1.56 190$ 54$ OTHER 97,282 232,946 2.05 1.17 98$ 50$ TOTAL 280,642 496,094 1.56 1.25 159$ 51$

PC 163,216 189,310 1.37 1.08 212$ 52$ FY OBGYN 0 17,634 0.00 2.03 0$ 64$

20173 MH 24,612 66,211 1.72 1.62 194$ 57$ OTHER 103,864 230,081 2.08 1.10 99$ 52$ TOTAL 291,692 503,236 1.65 1.20 160$ 53$

PC 166,507 164,393 1.43 1.17 200$ 59$ FY OBGYN 0 27,550 0.00 1.35 0$ 70$

20163 MH 25,852 49,858 1.87 2.03 183$ 56$ OTHER 107,867 227,446 2.23 1.08 95$ 58$ TOTAL 300,226 469,247 1.76 1.23 151$ 59$

ProductLine

Encounters/Services Average RVU Cost/Paid per RVU

1 Source: DC = M2 CAPER; PC = MDR TED Non-Institutional (using “ambulatory” defined by eMSM workgroup; drug costs included; OHI omitted). Includes allbeneficiaries. Use caution when making comparisons between DC and PC. Encounters and Services are not comparable. They are provided to give a sense ofvolume.


DC = work performed in the MTF; PC = work performed by a provider within the site’s PRISM (parent)

NHC New England – FY18 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

14

Work performed by NHC New England (parent)3:

Work performed by a provider within NHC New England’s PRISM (parent)2:

1 Source: DC = M2 CAPER; PC = MDR TED Non-Institutional (using “ambulatory” defined by eMSM workgroup; drug costs included; OHI omitted). Includes allbeneficiaries. Use caution when making comparisons between DC and PC. Encounters and Services are not comparable. They are provided to give a sense ofvolume.

2 Purchased Care includes 13% increase for overhead burdening.3 Direct Care costs based on FY17 MEPRS expenses, adjusted for inflation.

NHC NEW ENGLAND - FY 2018 DIRECT CARE AMBULATORY WORKLOAD

Encs Avg RVU Cost/RVU Encs Avg RVU Cost/RVU Encs Avg RVU Cost/RVU Encs Avg RVU Cost/RVU Encs Avg RVU Cost/RVU Encs Avg RVU Cost/RVU Encs Avg RVU Cost/RVUPC 128,185 1.25 192$ 13,207 1.35 376$ 5,886 1.06 323$ 13 1.87 159$ 3,446 0.82 192$ 4,418 1.22 263$ 155,155 1.24 215$ MH 16,796 1.66 190$ 7,870 1.76 190$ 2,975 1.62 185$ 0 0.00 0$ 191 1.31 193$ 373 1.69 258$ 28,205 1.68 190$

OTHER 43,063 2.19 107$ 21,745 2.27 61$ 6,369 2.03 63$ 3 0.49 16$ 3,254 2.65 134$ 22,848 1.48 133$ 97,282 2.05 98$ TOTAL 188,044 1.50 163$ 42,822 1.89 152$ 15,230 1.57 155$ 16 1.61 151$ 6,891 1.69 149$ 27,639 1.44 153$ 280,642 1.56 159$

32% MCSC; 15% NHC CHARLESTON; 11% IA-USCG-OFF CHIEF-OFF OF HLTH

Not Enrolled TotalProduct Line

Prime-Site Reliant Prime-Other Plus TFL

NHC NEW ENGLAND - FY 2018 PURCHASED CARE AMBULATORY WORKLOAD

Svcs Avg RVU Paid/RVU Svcs Avg RVU Paid/RVU Svcs Avg RVU Paid/RVU Svcs Avg RVU Paid/RVU Svcs Avg RVU Paid/RVU Svcs Avg RVU Paid/RVU Svcs Avg RVU Paid/RVUPC 39,168 1.15 51$ 890 1.82 54$ 40,282 1.31 53$ 2 2.09 19$ 7,595 1.79 54$ 87,912 1.07 46$ 175,849 1.18 49$

OBGYN 5,741 1.67 66$ 35 2.57 136$ 2,553 2.04 66$ 0 0.00 0$ 182 2.36 28$ 5,159 1.72 60$ 13,670 1.77 63$ MH 46,506 1.36 62$ 114 3.01 44$ 7,652 2.15 44$ 0 0.00 0$ 358 2.78 37$ 18,999 1.81 46$ 73,629 1.56 54$

OTHER 113,243 1.18 53$ 5,014 1.63 56$ 31,662 1.36 51$ 3 1.69 33$ 8,392 1.38 51$ 74,632 1.01 45$ 232,946 1.17 50$ TOTAL 204,658 1.23 55$ 6,053 1.69 56$ 82,149 1.43 52$ 5 1.85 27$ 16,527 1.61 52$ 186,702 1.14 46$ 496,094 1.25 51$

90% MCSC

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total

FOUO

NHC New England – FY17 Direct and Purchased Care Ambulatory Workload by Enrollment Category1

15

Work performed by NHC New England (parent)3:

Work performed by a provider within NHC New England’s PRISM (parent)2:

1 Source: DC = M2 CAPER; PC = MDR TED Non-Institutional (using “ambulatory” defined by eMSM workgroup; drug costs included; OHI omitted). Includes all beneficiaries. Use caution when making comparisons between DC and PC. Encounters and Services are not comparable. They are provided to give a sense ofvolume.

2 Purchased Care includes 13% increase for overhead burdening.3 Direct Care costs based on FY17 MEPRS expenses.

NHC NEW ENGLAND - FY 2017 DIRECT CARE AMBULATORY WORKLOAD

Encs Avg RVU Cost/RVU Encs Avg RVU Cost/RVU Encs Avg RVU Cost/RVU Encs Avg RVU Cost/RVU Encs Avg RVU Cost/RVU Encs Avg RVU Cost/RVU Encs Avg RVU Cost/RVUPC 136,066 1.37 190$ 12,636 1.53 372$ 4,845 1.28 331$ 7 1.47 180$ 4,411 0.82 194$ 5,251 1.47 237$ 163,216 1.37 212$ MH 15,434 1.70 190$ 6,113 1.89 203$ 2,444 1.49 199$ 0 0.00 0$ 157 1.54 178$ 464 1.48 191$ 24,612 1.72 194$

OTHER 48,876 2.27 109$ 22,124 2.33 63$ 6,491 2.07 68$ 4 2.08 60$ 3,250 2.38 90$ 23,119 1.42 136$ 103,864 2.08 99$ TOTAL 200,376 1.62 163$ 40,873 2.01 155$ 13,780 1.69 159$ 11 1.69 126$ 7,818 1.48 125$ 28,834 1.43 156$ 291,692 1.65 160$

32% MCSC; 14% NHC CHARLESTON

Not Enrolled TotalProduct Line

Prime-Site Reliant Prime-Other Plus TFL

NHC NEW ENGLAND - FY 2017 PURCHASED CARE AMBULATORY WORKLOAD

Svcs Avg RVU Paid/RVU Svcs Avg RVU Paid/RVU Svcs Avg RVU Paid/RVU Svcs Avg RVU Paid/RVU Svcs Avg RVU Paid/RVU Svcs Avg RVU Paid/RVU Svcs Avg RVU Paid/RVUPC 56,007 0.76 56$ 1,014 1.44 56$ 40,076 1.32 54$ 3 2.38 22$ 9,347 1.85 55$ 82,863 1.08 49$ 189,310 1.08 52$

OBGYN 6,970 2.30 67$ 44 3.17 67$ 3,126 2.04 65$ 0 0.00 0$ 223 2.43 16$ 7,271 1.74 61$ 17,634 2.03 64$ MH 38,640 1.51 61$ 67 2.50 47$ 7,263 1.97 52$ 0 0.00 0$ 333 2.60 41$ 19,908 1.69 52$ 66,211 1.62 57$

OTHER 113,759 1.08 54$ 3,990 1.38 57$ 36,599 1.01 52$ 2 1.58 49$ 9,368 1.36 52$ 66,363 1.15 47$ 230,081 1.10 52$ TOTAL 215,376 1.11 57$ 5,115 1.42 57$ 87,064 1.27 54$ 5 2.06 30$ 19,271 1.63 53$ 176,405 1.20 49$ 503,236 1.19 54$

91% MCSC

Product Line

Prime-Site Reliant Prime-Other Plus TFL Not Enrolled Total

FOUO

NHC New England – Prime EnrollmentAmbulatory Care1 – DIRECT CARE

161 Source: Direct Care: M2 CAPER, Prime Enrolled, MEPRS B, FBI, FBN. Data truncated for small volumes. Use caution when making comparisons between DC and PC.

Encounters and Services are not comparable. They are provided to give a sense of volume.2 Direct Care costs based on FY17 MEPRS expenses, with FY18 adjusted for inflation.

Tmt Parent 2017 2018NHC New England? Encounters Enh Total RVU Full Cost2 Avg RVU Cost2/RVU Encounters Enh Total RVU Full Cost2 Avg RVU Cost2/RVU

YES PC NHC NEW ENGLAND 136,066 186,794.65 35,559,781$ 1.37 190$ 128,185 159,786.94 30,661,357$ 1.25 192$ MH NHC NEW ENGLAND 15,434 26,232.79 4,994,663$ 1.70 190$ 16,796 27,844.50 5,296,333$ 1.66 190$ OTHER NHC NEW ENGLAND 48,876 110,814.03 12,100,167$ 2.27 109$ 43,063 94,290.52 10,045,787$ 2.19 107$

Yes Total 200,376 323,841.47 52,654,610$ 1.62 163$ 188,044 281,921.96 46,003,478$ 1.50 163$ NO PC AMC DARNALL-HOOD 49 72.75 4,408$ 1.48 61$ 291 762.13 25,683$ 2.62 34$

PC NMC SAN DIEGO 247 355.94 42,657$ 1.44 120$ 248 408.54 57,718$ 1.65 141$ PC AF-C-66th MEDGRP-HANSCOM 126 92.81 30,485$ 0.74 328$ 177 134.99 26,195$ 0.76 194$ PC NMC PORTSMOUTH 169 276.98 28,844$ 1.64 104$ 175 295.31 42,943$ 1.69 145$ PC NMC CAMP LEJEUNE 73 112.19 16,992$ 1.54 151$ 110 168.55 25,514$ 1.53 151$ PC AHC GUTHRIE-DRUM 85 114.61 12,452$ 1.35 109$ 109 172.82 17,780$ 1.59 103$ MH NMC PORTSMOUTH 232 689.23 61,368$ 2.97 89$ 174 689.33 109,811$ 3.96 159$ MH FT BELVOIR COMMUNITY HOSP-FBCH 17 69.30 1,207$ 4.08 17$ 109 263.67 38,800$ 2.42 147$ MH NMC SAN DIEGO 525 1,817.51 170,016$ 3.46 94$ 104 449.53 46,629$ 4.32 104$ OTHER NMC PORTSMOUTH 711 1,768.23 187,504$ 2.49 106$ 550 1,374.54 162,399$ 2.50 118$ OTHER WALTER REED NATL MIL MED CNTR 296 932.15 140,774$ 3.15 151$ 344 1,352.36 290,190$ 3.93 215$ OTHER NMC SAN DIEGO 610 1,391.36 252,534$ 2.28 182$ 322 669.80 72,766$ 2.08 109$ OTHER NHC HAWAII 240 627.46 16,288$ 2.61 26$ 287 731.60 19,113$ 2.55 26$ OTHER FT BELVOIR COMMUNITY HOSP-FBCH 431 2,208.70 238,124$ 5.12 108$ 199 1,334.66 142,378$ 6.71 107$ OTHER NMC CAMP LEJEUNE 167 418.81 39,436$ 2.51 94$ 168 399.09 26,497$ 2.38 66$ OTHER NH CAMP PENDLETON 67 173.03 23,722$ 2.58 137$ 131 355.43 29,684$ 2.71 84$ OTHER AMC DARNALL-HOOD 15 15.07 199$ 1.00 13$ 101 119.34 2,664$ 1.18 22$

No Total 8,030 19,555.78 2,272,635$ 2.44 116$ 6,650 16,191.70 1,981,322$ 2.43 122$ Total/Overall 208,406 343,397.25 54,927,245$ 1.65 160$ 194,694 298,113.66 47,984,799$ 1.53 161$

ProductLine Tmt Parent DMIS ID Name

FOUO

NHC New England – Prime EnrollmentAmbulatory Care1 – PURCHASED CARE

171 Source: Purchased Care: MDR TED Non-institutional, Prime Enrolled to the Parent Site (using “ambulatory” defined by eMSM workgroup; drug costs included; OHI

omitted). Use caution when making comparisons between DC and PC. Encounters and Services are not comparable. They are provided to give a sense of volume.2 Purchased Care includes 13% increase for overhead burdening. FOUO

Product 2017 2018Line # Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 / RVU # Svcs Enh Total RVU Amt Paid2 Avg RVU Paid2 / RVUPC 65,427 53,563.36 3,502,027$ 0.82 65$ 52,105 61,406.27 4,459,033$ 1.18 73$

OBGYN 9,160 20,469.97 1,546,764$ 2.23 76$ 8,339 13,596.99 1,234,224$ 1.63 91$ MH 43,999 63,501.06 4,630,011$ 1.44 73$ 52,620 69,246.48 6,214,180$ 1.32 90$

OTHER 144,508 154,845.36 9,824,591$ 1.07 63$ 145,935 179,379.55 13,540,358$ 1.23 75$ TOTAL 263,094 292,379.75 19,503,392$ 1.11 67$ 258,999 323,629.29 25,447,795$ 1.25 79$

NHC New England – Direct Care ER/Immed. Care(MEPRS BIA/BHI)1

181 Source: M2 CAPER. Based on Treatment Parent DMIS ID. BIA=Emergency Room (ER); BHI=Immediate Care (IC). FOUO

This facility did not report any workload in BIA or BHI.

NHC New England – Direct Care ER/IC Disposition Code2

191 Numeric values and R are for outpatient encounters; alphanumeric A-G are for inpatient encounters.2 Source: M2 CAPER. Based on Treatment Parent DMIS ID. BIA=Emergency Room (ER); BHI=Immediate Care (IC). FOUO


NHC New England – Direct Care ER/IC Top 15 Diagnosis Codes1

(Reason for being seen)

201 Source: M2 CAPER. Based on Treatment Parent DMIS ID. BIA=Emergency Room (ER); BHI=Immediate Care (IC). FOUO


Pharmacy

21Return to TOC

FOUO

NHC New England – Direct Care Pharmacy1 byEnrollment Group

FOUO22

1 Source: M2 PDTS, Source System D (Direct Care) and C (Clinician Administered Drug).

PARENT 0100 NHC NEW ENGLAND

2017 2018

# Scripts Days

SupplyFull Cost

Cost / Script

Cost / Day

# Scripts Days

SupplyFull Cost

Cost / Script

Cost / Day

Prime-MTF 149,138 6,878,553 7,610,229$ 51$ 1.11$ 132,928 6,351,656 7,243,069$ 54$ 1.14$ Prime-MCSC 6,991 381,355 379,740$ 54$ 1.00$ 8,136 456,488 500,278$ 61$ 1.10$ Reliant 13,694 322,941 446,749$ 33$ 1.38$ 13,710 386,499 458,087$ 33$ 1.19$ Plus 9,715 655,446 464,186$ 48$ 0.71$ 9,170 628,666 459,198$ 50$ 0.73$ Overseas Prime 18 469 1,640$ 91$ 3.50$ 3 88 103$ 34$ 1.17$ Desig Prov 143 7,088 6,827$ 48$ 0.96$ 117 5,242 5,108$ 44$ 0.97$ Other 153,300 11,023,388 8,633,605$ 56$ 0.78$ 149,496 10,841,761 9,003,389$ 60$ 0.83$ Grand Total 332,999 19,269,240 17,542,977$ 53$ 0.91$ 313,560 18,670,400 17,669,233$ 56$ 0.95$

Enr Group


FOUO23


0100 NHC NEW ENGLAND

2017 2018

# Scripts Days

SupplyFull Cost

Cost / Script

Cost / Day

# Scripts Days

SupplyFull Cost

Cost / Script

Cost / Day

Prime-MTF 57,986 2,581,237 2,975,743$ 51$ 1.15$ 48,703 2,281,929 2,668,568$ 55$ 1.17$ Prime-MCSC 1,432 71,569 68,128$ 48$ 0.95$ 1,705 87,838 86,179$ 51$ 0.98$ Reliant 5,724 106,902 153,470$ 27$ 1.44$ 6,661 180,972 173,370$ 26$ 0.96$ Plus 7,559 504,783 373,205$ 49$ 0.74$ 6,915 472,635 353,375$ 51$ 0.75$ Overseas Prime 11 306 228$ 21$ 0.74$ 3 88 103$ 34$ 1.17$ Desig Prov 27 972 2,318$ 86$ 2.39$ 66 2,959 2,881$ 44$ 0.97$ Other 62,503 4,426,767 3,535,059$ 57$ 0.80$ 61,146 4,358,086 3,582,097$ 59$ 0.82$ Grand Total 135,242 7,692,536 7,108,150$ 53$ 0.92$ 125,199 7,384,507 6,866,573$ 55$ 0.93$

Enr Group

0035 NBHC GROTON

2017 2018

# Scripts Days

SupplyFull Cost

Cost / Script

Cost / Day

# Scripts Days

SupplyFull Cost

Cost / Script

Cost / Day

Prime-MTF 72,251 3,419,940 3,779,232$ 52$ 1.11$ 66,153 3,215,028 3,792,235$ 57$ 1.18$ Prime-MCSC 1,203 68,367 62,482$ 52$ 0.91$ 1,391 84,116 72,718$ 52$ 0.86$ Reliant 6,214 166,949 241,061$ 39$ 1.44$ 5,328 152,493 212,742$ 40$ 1.40$ Plus 1,619 110,074 68,965$ 43$ 0.63$ 1,687 113,375 79,656$ 47$ 0.70$ Overseas Prime 6 160 1,392$ 232$ 8.70$ 0 0 0$ 0$ 0.00$ Desig Prov 3 136 74$ 25$ 0.55$ 3 90 79$ 26$ 0.88$ Other 56,872 4,133,444 3,374,333$ 59$ 0.82$ 54,781 4,021,870 3,623,928$ 66$ 0.90$ Grand Total 138,168 7,899,070 7,527,539$ 54$ 0.95$ 129,343 7,586,972 7,781,358$ 60$ 1.03$

Enr Group


FOUO24


0321 NBHC PORTSMOUTH

2017 2018

# Scripts Days

SupplyFull Cost

Cost / Script

Cost / Day

# Scripts Days

SupplyFull Cost

Cost / Script

Cost / Day

Prime-MTF 12,749 641,034 574,930$ 45$ 0.90$ 11,958 617,434 552,117$ 46$ 0.89$ Prime-MCSC 1,007 66,202 85,177$ 85$ 1.29$ 1,791 106,309 183,114$ 102$ 1.72$ Reliant 1,625 44,344 47,467$ 29$ 1.07$ 1,601 49,699 68,891$ 43$ 1.39$ Plus 516 38,939 21,508$ 42$ 0.55$ 564 42,296 25,868$ 46$ 0.61$ Overseas Prime 1 3 20$ 20$ 6.71$ 0 0 0$ 0$ 0.00$ Desig Prov 65 3,518 2,576$ 40$ 0.73$ 16 590 959$ 60$ 1.62$ Other 19,123 1,416,943 994,975$ 52$ 0.70$ 18,976 1,411,291 1,004,872$ 53$ 0.71$ Grand Total 35,086 2,210,983 1,726,653$ 49$ 0.78$ 34,906 2,227,619 1,835,822$ 53$ 0.82$

Enr Group

0328 NBHC SARATOGA SPRINGS

2017 2018

# Scripts Days

SupplyFull Cost

Cost / Script

Cost / Day

# Scripts Days

SupplyFull Cost

Cost / Script

Cost / Day

Prime-MTF 6,152 236,342 280,324$ 46$ 1.19$ 6,114 237,265 230,149$ 38$ 0.97$ Prime-MCSC 3,349 175,217 163,954$ 49$ 0.94$ 3,249 178,225 158,267$ 49$ 0.89$ Reliant 131 4,746 4,751$ 36$ 1.00$ 120 3,335 3,084$ 26$ 0.92$ Plus 21 1,650 509$ 24$ 0.31$ 4 360 299$ 75$ 0.83$ Desig Prov 48 2,462 1,859$ 39$ 0.76$ 32 1,603 1,189$ 37$ 0.74$ Other 14,802 1,046,234 729,238$ 49$ 0.70$ 14,593 1,050,514 792,492$ 54$ 0.75$ Grand Total 24,503 1,466,651 1,180,634$ 48$ 0.80$ 24,112 1,471,302 1,185,480$ 49$ 0.81$

Enr Group

NHC New England – FY18 Direct Care PharmacyTop 20 Products Dispensed1 by # of Scripts and Cost/Day

FOUO25


0035 NBHC GROTON 0035 NBHC GROTON

Product Name Number of

Scripts Days Supply Full Cost Cost / script Cost / Day Product Name

Number of Scripts

Days Supply Full Cost Cost / script Cost / Day

LISINOPRIL 3,207 275,789 81,924$ 26$ 0.30$ FOLLISTIM AQ 4 40 10,772$ 2,693$ 269.31$ IBUPROFEN 3,087 47,207 83,685$ 27$ 1.77$ NOXAFIL 3 70 8,516$ 2,839$ 121.65$ ATORVASTATIN CALCIUM 2,920 254,475 86,276$ 30$ 0.34$ TECFIDERA 2 60 6,897$ 3,449$ 114.96$ SIMVASTATIN 2,805 248,614 77,571$ 28$ 0.31$ GONAL-F RFF REDI-JECT 3 60 5,952$ 1,984$ 99.20$ LEVOTHYROXINE SODIUM 2,749 230,230 85,655$ 31$ 0.37$ CAPECITABINE 5 62 4,386$ 877$ 70.74$ OMEPRAZOLE 2,449 193,505 74,604$ 30$ 0.39$ ENBREL SURECLICK 15 672 46,437$ 3,096$ 69.10$ CETIRIZINE HCL 2,022 151,423 53,415$ 26$ 0.35$ COPAXONE 7 196 12,599$ 1,800$ 64.28$ FLUTICASONE PROPIONATE 1,928 91,179 55,690$ 29$ 0.61$ ENBREL 11 364 23,309$ 2,119$ 64.04$ PROAIR HFA 1,925 66,728 71,055$ 37$ 1.06$ REMICADE 4 252 15,437$ 3,859$ 61.26$ VITAMIN D3 1,859 160,429 47,804$ 26$ 0.30$ PENNSAID 4 112 6,795$ 1,699$ 60.67$ HYDROCHLOROTHIAZIDE 1,573 133,819 40,212$ 26$ 0.30$ GILENYA 6 420 24,184$ 4,031$ 57.58$ AMLODIPINE BESYLATE 1,566 133,884 44,494$ 28$ 0.33$ XELODA 11 154 8,768$ 797$ 56.94$ METOPROLOL SUCCINATE 1,540 131,004 58,346$ 38$ 0.45$ SIMPONI 5 372 20,766$ 4,153$ 55.82$ FREESTYLE LITE TEST STRIPS 1,511 98,179 72,259$ 48$ 0.74$ CLINDESSE 1 14 781$ 781$ 55.80$ ASPIR-LOW 1,483 129,206 36,197$ 24$ 0.28$ XIFAXAN 8 94 5,196$ 650$ 55.28$ SERTRALINE HCL 1,410 87,053 37,730$ 27$ 0.43$ TINDAMAX 2 2 103$ 51$ 51.39$ METFORMIN HCL 1,386 115,290 37,391$ 27$ 0.32$ STELARA 5 384 19,728$ 3,946$ 51.38$ MONTELUKAST SODIUM 1,364 111,078 47,277$ 35$ 0.43$ BICILLIN C-R 2 2 96$ 48$ 47.76$ LORATADINE 1,303 100,957 34,439$ 26$ 0.34$ ATRIPLA 1 90 4,264$ 4,264$ 47.38$ NAPROXEN 1,177 27,064 30,616$ 26$ 1.13$ GENVOYA 1 60 2,748$ 2,748$ 45.80$

TOP 20 BASED ON VOLUME TOP 20 BASED ON COST PER DAY


FOUO26


0100 NHC NEW ENGLAND 0100 NHC NEW ENGLAND



Number of Scripts


LISINOPRIL 3,598 300,499 72,400$ 20$ 0.24$ AVONEX 14 392 172,238$ 12,303$ 439.38$ SIMVASTATIN 3,063 268,745 68,197$ 22$ 0.25$ METHERGINE 1 2 523$ 523$ 261.53$ ATORVASTATIN CALCIUM 2,893 243,771 68,326$ 24$ 0.28$ IBRANCE 2 58 13,120$ 6,560$ 226.20$ IBUPROFEN 2,841 44,326 57,071$ 20$ 1.29$ SAMSCA 1 30 6,496$ 6,496$ 216.54$ LEVOTHYROXINE SODIUM 2,817 238,825 72,535$ 26$ 0.30$ XTANDI 2 60 8,720$ 4,360$ 145.34$ OMEPRAZOLE 2,679 210,305 65,718$ 25$ 0.31$ TARCEVA 9 510 71,348$ 7,928$ 139.90$ CETIRIZINE HCL 1,950 137,609 40,639$ 21$ 0.30$ ZYTIGA 5 150 19,703$ 3,941$ 131.35$ FLUTICASONE PROPIONATE 1,926 99,611 46,054$ 24$ 0.46$ DUPIXENT 2 60 7,573$ 3,787$ 126.22$ ASPIR-LOW 1,905 166,611 36,101$ 19$ 0.22$ ORENCIA CLICKJECT 5 230 27,662$ 5,532$ 120.27$ HYDROCHLOROTHIAZIDE 1,704 147,511 33,865$ 20$ 0.23$ INCRELEX 4 180 21,537$ 5,384$ 119.65$ AMLODIPINE BESYLATE 1,686 141,902 38,520$ 23$ 0.27$ INSUPEN 1 100 10,675$ 10,675$ 106.75$ PROAIR HFA 1,661 56,087 54,538$ 33$ 0.97$ METFORMIN ER GASTRIC 1 90 6,849$ 6,849$ 76.10$ SORE THROAT LOZENGE 1,555 32,412 31,787$ 20$ 0.98$ ALINIA 2 6 439$ 219$ 73.10$ VITAMIN D3 1,504 128,604 30,340$ 20$ 0.24$ ABACAVIR 2 21 1,493$ 746$ 71.07$ METFORMIN HCL 1,379 113,842 29,662$ 22$ 0.26$ ENBREL SURECLICK 10 448 30,581$ 3,058$ 68.26$ SERTRALINE HCL 1,290 82,407 27,657$ 21$ 0.34$ ENBREL 10 344 22,282$ 2,228$ 64.77$ FREESTYLE LITE TEST STRIPS 1,281 87,061 61,175$ 48$ 0.70$ IMATINIB MESYLATE 9 660 41,919$ 4,658$ 63.51$ LOSARTAN POTASSIUM 1,238 102,333 29,947$ 24$ 0.29$ KEVZARA 1 84 5,262$ 5,262$ 62.65$ LORATADINE 1,216 91,194 25,177$ 21$ 0.28$ SANDOSTATIN 1 44 2,581$ 2,581$ 58.66$ METOPROLOL SUCCINATE 1,208 101,428 39,126$ 32$ 0.39$ VALGANCICLOVIR HCL 3 90 5,088$ 1,696$ 56.53$



FOUO27


0321 NBHC PORTSMOUTH 0321 NBHC PORTSMOUTH



Number of Scripts


LISINOPRIL 1,047 86,535 20,948$ 20$ 0.24$ TECFIDERA 1 60 8,105$ 8,105$ 135.08$ ATORVASTATIN CALCIUM 1,031 89,265 25,086$ 24$ 0.28$ RELISTOR 1 28 3,126$ 3,126$ 111.65$ LEVOTHYROXINE SODIUM 857 71,539 21,826$ 25$ 0.31$ CHOLESTYRAMINE 1 30 2,192$ 2,192$ 73.08$ OMEPRAZOLE 815 62,570 20,514$ 25$ 0.33$ ENBREL SURECLICK 6 504 34,253$ 5,709$ 67.96$ SIMVASTATIN 685 60,810 15,135$ 22$ 0.25$ DUPIXENT 3 252 17,042$ 5,681$ 67.63$ VITAMIN D3 681 59,012 13,838$ 20$ 0.23$ ENBREL 3 168 11,100$ 3,700$ 66.07$ AMLODIPINE BESYLATE 515 43,447 11,828$ 23$ 0.27$ COSENTYX PEN (2 PENS) 1 84 4,254$ 4,254$ 50.65$ CETIRIZINE HCL 513 38,571 10,754$ 21$ 0.28$ PREPOPIK 2 2 82$ 41$ 41.18$ IBUPROFEN 499 11,639 10,482$ 21$ 0.90$ OTEZLA 18 509 20,362$ 1,131$ 40.00$ HYDROCHLOROTHIAZIDE 477 40,566 9,491$ 20$ 0.23$ TRUVADA 9 720 21,238$ 2,360$ 29.50$ PANTOPRAZOLE SODIUM 457 37,569 13,594$ 30$ 0.36$ VANCOMYCIN HCL 2 10 286$ 143$ 28.57$ PROAIR HFA 450 16,678 14,489$ 32$ 0.87$ GRANISETRON HCL 4 120 3,416$ 854$ 28.47$ FLUTICASONE PROPIONATE 417 23,610 10,145$ 24$ 0.43$ XIFAXAN 4 132 3,607$ 902$ 27.32$ METOPROLOL SUCCINATE 417 35,652 13,576$ 33$ 0.38$ TOBRAMYCIN 3 84 2,204$ 735$ 26.24$ SERTRALINE HCL 407 28,901 8,911$ 22$ 0.31$ HUMIRA PEN 5 392 10,033$ 2,007$ 25.59$ METFORMIN HCL 392 33,795 8,440$ 22$ 0.25$ REPATHA SURECLICK 10 392 8,754$ 875$ 22.33$ LOSARTAN POTASSIUM 379 32,209 9,348$ 25$ 0.29$ HUMULIN R U-500 4 340 7,551$ 1,888$ 22.21$ ATENOLOL 374 31,899 7,685$ 21$ 0.24$ TAMIFLU 21 110 2,403$ 114$ 21.85$ FREESTYLE LITE TEST STRIPS 367 27,762 17,775$ 48$ 0.64$ MYORISAN 3 90 1,936$ 645$ 21.51$ ASPIR-LOW 344 30,364 6,520$ 19$ 0.21$ OSELTAMIVIR PHOSPHATE 9 55 1,165$ 129$ 21.18$



FOUO28


0328 NBHC SARATOGA SPRINGS 0328 NBHC SARATOGA SPRINGS



Number of Scripts


ATORVASTATIN CALCIUM 764 65,580 18,212$ 24$ 0.28$ TRESIBA FLEXTOUCH U-100 3 156 90,495$ 30,165$ 580.09$ LISINOPRIL 655 55,995 13,173$ 20$ 0.24$ METHERGINE 1 1 397$ 397$ 396.90$ OMEPRAZOLE 655 50,767 16,898$ 26$ 0.33$ TECFIDERA 3 270 34,595$ 11,532$ 128.13$ LEVOTHYROXINE SODIUM 625 51,856 16,069$ 26$ 0.31$ SANDOSTATIN LAR DEPOT 3 90 9,677$ 3,226$ 107.52$ SIMVASTATIN 583 50,490 12,973$ 22$ 0.26$ DIASTAT ACUDIAL 1 4 384$ 384$ 96.04$ IBUPROFEN 532 11,078 10,813$ 20$ 0.98$ COPAXONE 4 120 6,943$ 1,736$ 57.86$ AMLODIPINE BESYLATE 394 31,170 8,907$ 23$ 0.29$ MOVIPREP 1 1 55$ 55$ 55.31$ PANTOPRAZOLE SODIUM 387 29,080 11,289$ 29$ 0.39$ QUINIDINE GLUCONATE 1 90 4,194$ 4,194$ 46.60$ FLUTICASONE PROPIONATE 383 22,245 9,538$ 25$ 0.43$ XELJANZ XR 6 180 7,968$ 1,328$ 44.27$ FREESTYLE LITE TEST STRIPS 348 23,065 15,726$ 45$ 0.68$ OMEPRAZOLE-SODIUM BICARBONA 3 270 11,352$ 3,784$ 42.05$ PROAIR HFA 347 11,886 11,309$ 33$ 0.95$ ECONTRA ONE-STEP 1 1 30$ 30$ 29.82$ METOPROLOL SUCCINATE 327 27,315 9,973$ 30$ 0.37$ TRUVADA 6 271 8,039$ 1,340$ 29.66$ ATENOLOL 276 23,070 5,718$ 21$ 0.25$ ISENTRESS 1 21 584$ 584$ 27.82$ LOSARTAN POTASSIUM 276 23,085 6,818$ 25$ 0.30$ NULYTELY WITH FLAVOR PACKS 1 1 26$ 26$ 26.03$ METFORMIN HCL 262 21,540 5,688$ 22$ 0.26$ VIVITROL 3 84 1,980$ 660$ 23.57$ HYDROCHLOROTHIAZIDE 259 22,202 4,969$ 19$ 0.22$ OSELTAMIVIR PHOSPHATE 3 20 465$ 155$ 23.26$ ASPIR-LOW 251 21,590 4,755$ 19$ 0.22$ GOLYTELY 6 6 136$ 23$ 22.70$ SUDOGEST 244 1,469 4,928$ 20$ 3.35$ GAVILYTE-G 23 23 509$ 22$ 22.13$ NAPROXEN 232 5,870 4,813$ 21$ 0.82$ RELPAX 1 4 88$ 88$ 21.98$ SORE THROAT LOZENGE 228 4,135 4,527$ 20$ 1.09$ TRILYTE WITH FLAVOR PACKETS 18 18 332$ 18$ 18.44$


NHC New England – Purchased Care Pharmacy1

based on “Parent” PRISM Area ID by Enrollment Group

FOUO29

1 Source: M2 PDTS, Source System M (MCSC) and T (Mail Order). Parent PRISM is a derived field and includes all children of the Parent DMIS ID.

PARENT PRISM 0100 NHC NEW ENGLAND

2017 2018

# Scripts Days Supply Paid by TRICARE

Paid / Script

Paid / Day # Scripts Days Supply

Paid by TRICARE

Paid / Script

Paid / Day

MCSC (Retail) Prime-MTF 33,839 804,111 4,073,171$ 120$ 5.07$ 32,352 768,203 8,939,242$ 276$ 11.64$ Prime-MCSC 19,970 518,612 1,092,068$ 55$ 2.11$ 20,970 566,806 930,363$ 44$ 1.64$ Reliant 1,240 18,826 35,204$ 28$ 1.87$ 1,210 21,072 45,156$ 37$ 2.14$ Plus 1,293 32,548 49,865$ 39$ 1.53$ 1,597 39,213 79,779$ 50$ 2.03$ Overseas Prime 0 0 0$ 0$ 0.00$ 1 1 16$ 16$ 16.15$ Desig Prov 51 966 483$ 9$ 0.50$ 26 615 563$ 22$ 0.92$ Other 191,352 5,845,034 11,016,138$ 58$ 1.88$ 182,497 5,624,595 11,024,620$ 60$ 1.96$

MCSC Total 247,745 7,220,097 16,266,930$ 66$ 2.25$ 238,653 7,020,505 21,019,739$ 88$ 2.99$ Mail Order Prime-MTF 6,913 571,632 1,881,939$ 272$ 3.29$ 5,157 427,085 1,793,747$ 348$ 4.20$

Prime-MCSC 6,472 531,914 806,781$ 125$ 1.52$ 6,097 495,024 860,723$ 141$ 1.74$ Reliant 79 7,167 11,829$ 150$ 1.65$ 61 5,595 9,853$ 162$ 1.76$ Plus 884 75,733 67,414$ 76$ 0.89$ 774 66,291 69,852$ 90$ 1.05$ Desig Prov 4 220 401$ 100$ 1.82$ 0 0 0$ 0$ 0.00$ Other 118,789 10,137,963 12,408,711$ 104$ 1.22$ 111,680 9,494,622 12,510,041$ 112$ 1.32$

Mail Order Total 133,141 11,324,629 15,177,076$ 114$ 1.34$ 123,769 10,488,617 15,244,216$ 123$ 1.45$ Grand Total 380,886 18,544,726 31,444,006$ 83$ 1.70$ 362,422 17,509,122 36,263,955$ 100$ 2.07$

Source SystemEnrollment

Group


based on PRISM Area ID by Enrollment Group

FOUO30

1 Source: M2 PDTS, Source System M (MCSC) and T (Mail Order). Based on PRISM Area ID.

0035 NBHC GROTON

2017 2018


Paid / Script


Paid by TRICARE

Paid / Script

Paid / Day

MCSC (Retail) Prime-MTF 19,239 461,843 2,526,017$ 131$ 5.47$ 18,960 457,926 7,118,853$ 375$ 15.55$ Prime-MCSC 3,241 87,564 175,586$ 54$ 2.01$ 3,047 92,301 183,139$ 60$ 1.98$ Reliant 622 9,080 16,941$ 27$ 1.87$ 575 10,050 14,974$ 26$ 1.49$ Plus 215 5,480 5,128$ 24$ 0.94$ 192 4,433 8,975$ 47$ 2.02$ Desig Prov 0 0 0$ 0$ 0.00$ 1 1 17$ 17$ 16.91$ Other 61,663 1,980,262 4,204,268$ 68$ 2.12$ 59,582 1,915,458 3,901,578$ 65$ 2.04$

MCSC Total 84,980 2,544,229 6,927,940$ 82$ 2.72$ 82,357 2,480,169 11,227,536$ 136$ 4.53$ Mail Order Prime-MTF 4,219 346,679 1,128,380$ 267$ 3.25$ 3,189 264,291 1,075,515$ 337$ 4.07$

Prime-MCSC 1,011 83,691 108,902$ 108$ 1.30$ 862 67,365 106,184$ 123$ 1.58$ Reliant 11 748 7,291$ 663$ 9.75$ 6 613 5,096$ 849$ 8.31$ Plus 163 12,939 16,722$ 103$ 1.29$ 107 9,366 15,496$ 145$ 1.65$ Other 37,030 3,144,799 4,124,179$ 111$ 1.31$ 35,055 2,967,017 4,033,505$ 115$ 1.36$



Group



FOUO31



2017 2018


Paid / Script


Paid by TRICARE

Paid / Script

Paid / Day

MCSC (Retail) Prime-MTF 8,346 200,592 1,130,810$ 135$ 5.64$ 7,972 188,350 1,435,963$ 180$ 7.62$ Prime-MCSC 3,069 81,558 221,098$ 72$ 2.71$ 3,612 97,585 179,083$ 50$ 1.84$ Reliant 243 4,365 9,920$ 41$ 2.27$ 265 5,022 7,626$ 29$ 1.52$ Plus 882 20,043 42,722$ 48$ 2.13$ 1,172 29,010 66,092$ 56$ 2.28$ Overseas Prime 0 0 0$ 0$ 0.00$ 1 1 16$ 16$ 16.15$ Desig Prov 7 120 3$ 0$ 0.02$ 4 136 134$ 34$ 0.99$ Other 73,810 2,119,220 3,747,837$ 51$ 1.77$ 69,164 2,004,419 3,918,208$ 57$ 1.95$

MCSC Total 86,357 2,425,898 5,152,390$ 60$ 2.12$ 82,190 2,324,523 5,607,123$ 68$ 2.41$ Mail Order Prime-MTF 1,671 138,526 468,876$ 281$ 3.38$ 1,126 93,347 449,726$ 399$ 4.82$

Prime-MCSC 1,184 99,284 114,355$ 97$ 1.15$ 961 80,307 116,662$ 121$ 1.45$ Reliant 28 2,946 2,627$ 94$ 0.89$ 32 3,080 3,476$ 109$ 1.13$ Plus 542 46,988 40,200$ 74$ 0.86$ 500 42,512 41,888$ 84$ 0.99$ Desig Prov 4 220 401$ 100$ 1.82$ 0 0 0$ 0$ 0.00$ Other 45,008 3,854,622 4,520,626$ 100$ 1.17$ 41,963 3,580,463 4,587,833$ 109$ 1.28$



Group



FOUO32



2017 2018


Paid / Script


Paid by TRICARE

Paid / Script

Paid / Day

MCSC (Retail) Prime-MTF 4,630 104,156 288,014$ 62$ 2.77$ 4,088 93,284 242,789$ 59$ 2.60$ Prime-MCSC 1,735 45,146 73,545$ 42$ 1.63$ 2,551 68,147 66,162$ 26$ 0.97$ Reliant 286 3,473 5,492$ 19$ 1.58$ 309 4,327 10,427$ 34$ 2.41$ Plus 81 3,699 1,260$ 16$ 0.34$ 105 2,800 3,920$ 37$ 1.40$ Desig Prov 19 270 414$ 22$ 1.53$ 11 267 113$ 10$ 0.42$ Other 26,382 783,945 1,688,074$ 64$ 2.15$ 25,248 751,063 1,783,736$ 71$ 2.37$

MCSC Total 33,133 940,689 2,056,798$ 62$ 2.19$ 32,312 919,888 2,107,147$ 65$ 2.29$ Mail Order Prime-MTF 897 76,061 262,577$ 293$ 3.45$ 749 62,031 251,212$ 335$ 4.05$

Prime-MCSC 778 65,148 67,913$ 87$ 1.04$ 861 71,494 93,661$ 109$ 1.31$ Reliant 31 2,843 1,214$ 39$ 0.43$ 17 1,362 426$ 25$ 0.31$ Plus 175 15,446 9,372$ 54$ 0.61$ 167 14,413 12,468$ 75$ 0.87$ Other 19,776 1,694,112 1,977,484$ 100$ 1.17$ 19,356 1,655,103 2,228,469$ 115$ 1.35$



Group



FOUO33



2017 2018


Paid / Script


Paid by TRICARE

Paid / Script

Paid / Day

MCSC (Retail) Prime-MTF 1,624 37,520 128,330$ 79$ 3.42$ 1,332 28,643 141,637$ 106$ 4.94$ Prime-MCSC 11,925 304,344 621,840$ 52$ 2.04$ 11,760 308,773 501,979$ 43$ 1.63$ Reliant 89 1,908 2,850$ 32$ 1.49$ 61 1,673 12,128$ 199$ 7.25$ Plus 115 3,326 755$ 7$ 0.23$ 128 2,970 792$ 6$ 0.27$ Desig Prov 25 576 67$ 3$ 0.12$ 10 211 299$ 30$ 1.41$ Other 29,497 961,607 1,375,959$ 47$ 1.43$ 28,503 953,655 1,421,099$ 50$ 1.49$

MCSC Total 43,275 1,309,281 2,129,802$ 49$ 1.63$ 41,794 1,295,925 2,077,933$ 50$ 1.60$ Mail Order Prime-MTF 126 10,366 22,106$ 175$ 2.13$ 93 7,416 17,294$ 186$ 2.33$

Prime-MCSC 3,499 283,791 515,611$ 147$ 1.82$ 3,413 275,858 544,216$ 159$ 1.97$ Reliant 9 630 697$ 77$ 1.11$ 6 540 855$ 143$ 1.58$ Plus 4 360 1,120$ 280$ 3.11$ 0 0 0$ 0$ 0.00$ Other 16,975 1,444,430 1,786,423$ 105$ 1.24$ 15,306 1,292,039 1,660,234$ 108$ 1.28$



Group

NHC New England – FY18 Purchased Care Pharmacy1

Top 20 Products Dispensed by # of Scripts and Cost/Day

FOUO34




Scripts Days Supply

Paid byTRICARE

Paid / Script Paid / Day Product Name Number of

ScriptsDays Supply

Paid byTRICARE

Paid / Script Paid / Day

ATORVASTATIN CALCIUM 2,739 210,581 172,321$ 63$ 0.82$ FEIBA NF 6 78 1,156,162$ 192,694$ 14,822.60$ LEVOTHYROXINE SODIUM 2,375 172,844 13,758$ 6$ 0.08$ ELOCTATE 11 225 2,914,126$ 264,921$ 12,951.67$ LISINOPRIL 2,123 158,922 1,457$ 1$ 0.01$ FIRAZYR 16 52 639,273$ 39,955$ 12,293.72$ AMOXICILLIN 2,045 16,689 687$ 0$ 0.04$ RUCONEST 6 180 680,034$ 113,339$ 3,777.97$ OMEPRAZOLE 1,739 123,526 25,831$ 15$ 0.21$ CINRYZE 4 108 175,215$ 43,804$ 1,622.36$ PREDNISONE 1,725 33,244 2,153$ 1$ 0.06$ TAKHZYRO 1 28 43,778$ 43,778$ 1,563.50$ AMLODIPINE BESYLATE 1,571 110,101 30,983$ 20$ 0.28$ FOLLISTIM AQ 1 12 12,841$ 12,841$ 1,070.11$ SERTRALINE HCL 1,468 77,803 4,796$ 3$ 0.06$ HAEGARDA 2 56 59,683$ 29,841$ 1,065.77$ SIMVASTATIN 1,451 118,699 92,926$ 64$ 0.78$ ORKAMBI 1 30 20,749$ 20,749$ 691.63$ GABAPENTIN 1,349 61,637 24,936$ 18$ 0.40$ JAKAFI 7 210 115,817$ 16,545$ 551.51$ ESCITALOPRAM OXALATE 1,348 74,142 6,693$ 5$ 0.09$ POMALYST 2 56 30,186$ 15,093$ 539.03$ FUROSEMIDE 1,287 80,107 11,911$ 9$ 0.15$ PROLASTIN C 1 28 13,946$ 13,946$ 498.08$ HYDROCODONE-ACETAMINOPHEN 1,267 16,146 8,546$ 7$ 0.53$ APOKYN 4 120 58,944$ 14,736$ 491.20$ PANTOPRAZOLE SODIUM 1,244 80,417 127,953$ 103$ 1.59$ AFINITOR 1 28 13,750$ 13,750$ 491.09$ AZITHROMYCIN 1,239 7,185 2,866$ 2$ 0.40$ CABOMETYX 14 420 205,662$ 14,690$ 489.67$ TRAZODONE HCL 1,155 52,101 2,002$ 2$ 0.04$ REVLIMID 36 973 471,130$ 13,087$ 484.20$ HYDROCHLOROTHIAZIDE 1,129 85,750 1,549- $ 1- $ 0.02- $ ZEMAIRA 3 84 36,978$ 12,326$ 440.21$ METOPROLOL TARTRATE 1,113 72,595 14,342$ 13$ 0.20$ XYREM 5 150 65,054$ 13,011$ 433.69$ OXYCODONE-ACETAMINOPHEN 1,090 12,238 3,588$ 3$ 0.29$ IBRANCE 17 469 182,752$ 10,750$ 389.66$ LOSARTAN POTASSIUM 1,083 78,059 50,153$ 46$ 0.64$ DIFICID 6 40 13,951$ 2,325$ 348.79$




FOUO35




Scripts Days Supply

Paid byTRICARE


ScriptsDays Supply

Paid byTRICARE


ATORVASTATIN CALCIUM 3,950 272,169 218,922$ 55$ 0.80$ AUVI-Q 1 1 4,945$ 4,945$ 4,944.60$ OMEPRAZOLE 2,957 183,607 49,505$ 17$ 0.27$ JUXTAPID 12 360 465,924$ 38,827$ 1,294.23$ LEVOTHYROXINE SODIUM 2,921 182,447 12,658$ 4$ 0.07$ EPCLUSA 1 28 24,917$ 24,917$ 889.89$ LISINOPRIL 2,917 198,355 445$ 0$ 0.00$ ORKAMBI 8 280 223,703$ 27,963$ 798.94$ AMLODIPINE BESYLATE 2,556 174,451 56,675$ 22$ 0.32$ SYMDEKO 2 174 95,301$ 47,651$ 547.71$ FUROSEMIDE 1,978 115,609 18,246$ 9$ 0.16$ POMALYST 3 84 45,542$ 15,181$ 542.17$ SIMVASTATIN 1,848 140,668 122,296$ 66$ 0.87$ TAGRISSO 24 720 342,372$ 14,266$ 475.52$ PREDNISONE 1,693 32,275 2,106$ 1$ 0.07$ NEUPOGEN 2 4 1,883$ 942$ 470.79$ SERTRALINE HCL 1,596 77,856 2,929$ 2$ 0.04$ CYTOGAM 5 70 32,928$ 6,586$ 470.40$ LOSARTAN POTASSIUM 1,536 108,872 80,231$ 52$ 0.74$ CAPRELSA 8 240 111,835$ 13,979$ 465.98$ METOPROLOL TARTRATE 1,513 93,339 16,022$ 11$ 0.17$ GONAL-F RFF REDI-JECT 3 40 17,978$ 5,993$ 449.45$ GABAPENTIN 1,438 69,357 43,449$ 30$ 0.63$ LYNPARZA 12 342 136,949$ 11,412$ 400.44$ AMOXICILLIN 1,426 11,842 548$ 0$ 0.05$ REVLIMID 55 1,530 583,602$ 10,611$ 381.44$ HYDROCHLOROTHIAZIDE 1,423 105,743 2,242- $ 2- $ 0.02- $ DIFICID 1 10 3,634$ 3,634$ 363.40$ FLUTICASONE PROPIONATE 1,308 72,498 3,236$ 2$ 0.04$ MEKINIST 2 60 20,697$ 10,349$ 344.96$ ESCITALOPRAM OXALATE 1,193 61,203 7,404$ 6$ 0.12$ IMBRUVICA 14 410 137,797$ 9,843$ 336.09$ LORAZEPAM 1,178 37,655 10,020$ 9$ 0.27$ ZYKADIA 2 56 18,399$ 9,199$ 328.55$ AZITHROMYCIN 1,173 8,277 3,180$ 3$ 0.38$ NINLARO 2 56 18,338$ 9,169$ 327.46$ TRAZODONE HCL 1,135 51,677 1,526$ 1$ 0.03$ TAFINLAR 2 60 19,059$ 9,529$ 317.65$ PANTOPRAZOLE SODIUM 1,133 70,439 119,392$ 105$ 1.69$ MAVYRET 2 56 17,665$ 8,832$ 315.45$




FOUO36




Scripts Days Supply

Paid byTRICARE


ScriptsDays Supply

Paid byTRICARE


ATORVASTATIN CALCIUM 1,712 134,048 138,163$ 81$ 1.03$ POMALYST 8 224 127,913$ 15,989$ 571.04$ LEVOTHYROXINE SODIUM 1,340 95,364 6,471$ 5$ 0.07$ UPTRAVI 3 90 45,004$ 15,001$ 500.05$ LISINOPRIL 1,331 102,254 578$ 0$ 0.01$ RUBRACA 7 96 47,227$ 6,747$ 491.95$ AMLODIPINE BESYLATE 1,059 75,819 16,279$ 15$ 0.21$ REVLIMID 37 1,036 427,950$ 11,566$ 413.08$ OMEPRAZOLE 974 69,181 18,706$ 19$ 0.27$ NINLARO 3 84 29,533$ 9,844$ 351.59$ PREDNISONE 811 15,472 1,156$ 1$ 0.07$ EMVERM 1 1 327$ 327$ 327.34$ SIMVASTATIN 792 63,481 59,670$ 75$ 0.94$ AUVI-Q 4 120 38,049$ 9,512$ 317.07$ FUROSEMIDE 766 47,983 6,735$ 9$ 0.14$ IMBRUVICA 19 590 180,627$ 9,507$ 306.15$ AMOXICILLIN 722 5,793 302$ 0$ 0.05$ LETAIRIS 3 90 27,553$ 9,184$ 306.14$ HYDROCHLOROTHIAZIDE 664 53,066 1,283- $ 2- $ 0.02- $ PICATO 2 6 1,814$ 907$ 302.41$ LORAZEPAM 616 20,004 2,587$ 4$ 0.13$ OFEV 12 360 107,319$ 8,943$ 298.11$ LOSARTAN POTASSIUM 616 48,760 34,236$ 56$ 0.70$ GLUCAGEN 1 1 236$ 236$ 236.22$ SERTRALINE HCL 609 36,010 1,254$ 2$ 0.03$ ZYTIGA 8 240 49,485$ 6,186$ 206.19$ GABAPENTIN 548 24,393 8,148$ 15$ 0.33$ GARDASIL 9 2 2 401$ 201$ 200.62$ TOPROL XL 538 48,360 6,235$ 12$ 0.13$ TALTZ AUTOINJECTOR 3 140 27,847$ 9,282$ 198.91$ PANTOPRAZOLE SODIUM 535 36,490 77,755$ 145$ 2.13$ BETHKIS 2 56 11,033$ 5,516$ 197.01$ OXYCODONE HCL 527 7,390 2,361$ 4$ 0.32$ ALINIA 1 3 582$ 582$ 194.07$ FLUTICASONE PROPIONATE 505 29,051 1,227$ 2$ 0.04$ TASIGNA 13 364 69,466$ 5,344$ 190.84$ AZITHROMYCIN 502 2,977 1,231$ 2$ 0.41$ HARVONI 2 56 10,339$ 5,169$ 184.62$ HYDROCODONE-ACETAMINOPHEN 497 5,281 3,033$ 6$ 0.57$ MALATHION 2 2 350$ 175$ 174.96$




FOUO37




Scripts Days Supply

Paid byTRICARE


ScriptsDays Supply

Paid byTRICARE


OMEPRAZOLE 1,801 114,201 25,200$ 14$ 0.22$ LENVIMA 1 30 16,823$ 16,823$ 560.77$ ATORVASTATIN CALCIUM 1,641 121,473 106,871$ 65$ 0.88$ CABOMETYX 4 120 65,464$ 16,366$ 545.53$ LEVOTHYROXINE SODIUM 1,547 98,742 5,894$ 4$ 0.06$ GONAL-F RFF REDI-JECT 1 12 6,149$ 6,149$ 512.38$ LISINOPRIL 1,109 79,833 43- $ 0$ 0.00$ REVLIMID 1 28 13,784$ 13,784$ 492.29$ AMOXICILLIN 1,005 9,166 427$ 0$ 0.05$ MAVYRET 3 84 38,265$ 12,755$ 455.54$ SERTRALINE HCL 912 41,755 2,151$ 2$ 0.05$ NEUPOGEN 3 30 12,369$ 4,123$ 412.31$ HYDROCODONE-ACETAMINOPHEN 874 11,507 3,856$ 4$ 0.34$ XYREM 12 341 134,536$ 11,211$ 394.53$ PREDNISONE 835 14,293 1,242$ 1$ 0.09$ KUVAN 1 30 10,515$ 10,515$ 350.52$ AMLODIPINE BESYLATE 810 55,101 12,793$ 16$ 0.23$ IBRANCE 25 784 244,361$ 9,774$ 311.69$ ESCITALOPRAM OXALATE 746 37,203 3,274$ 4$ 0.09$ PICATO 1 3 898$ 898$ 299.28$ LOSARTAN POTASSIUM 731 50,698 33,575$ 46$ 0.66$ AFINITOR 1 30 8,292$ 8,292$ 276.39$ FLUTICASONE PROPIONATE 675 35,109 2,431$ 4$ 0.07$ XERESE 4 20 4,447$ 1,112$ 222.36$ SIMVASTATIN 616 48,599 43,158$ 70$ 0.89$ IMBRUVICA 11 310 62,794$ 5,709$ 202.56$ AZITHROMYCIN 593 3,405 1,516$ 3$ 0.45$ OCALIVA 4 120 24,279$ 6,070$ 202.33$ ROSUVASTATIN CALCIUM 588 45,309 74,553$ 127$ 1.65$ CETROTIDE 2 11 2,189$ 1,094$ 198.99$ HYDROCHLOROTHIAZIDE 545 40,051 679- $ 1- $ 0.02- $ AMICAR 2 14 2,620$ 1,310$ 187.13$ ALPRAZOLAM 544 13,685 1,814$ 3$ 0.13$ MENOPUR 1 10 1,719$ 1,719$ 171.88$ AMOXICILLIN-CLAVULANATE POT 539 5,251 2,167$ 4$ 0.41$ PREVNAR 13 32 32 5,438$ 170$ 169.93$ GABAPENTIN 527 27,839 13,134$ 25$ 0.47$ CAPECITABINE 6 84 13,150$ 2,192$ 156.55$ PROAIR HFA 514 14,983 13,925$ 27$ 0.93$ MESNEX 1 3 426$ 426$ 141.95$


Radiology

38Return to TOC

FOUO

NHC New England – Direct Care Radiology1 Services by Ordering Product Line and Enrollment Category

FOUO391 Source: M2 Radiology Detail, includes both Technical and Professional services. Prime-Site defined as Enrollment Site Parent equal to Tmt Parent.

Ordering Product Line based on Ordering MEPRS Code.

0035 NBHC GROTON

FY 2018 RADIOLOGY SERVICESOrdering

Product LinePrime -

Site ReliantPrime - Other Plus TFL

Not Enrolled Total

Special Programs 180 187 26 182 72 647Dermatology 3 3

General Surgery 594 177 1 4 18 794IM Subspecialty 5 5

Optometry 1 1Orthopedics 201 77 7 2 7 294Primary Care 6,877 757 208 2 117 223 8,184

Other 54 64 4 6 323 451Total 7,914 1,263 246 2 311 643 10,379

0035 NBHC GROTON


Product LinePrime -


Not Enrolled Total

Ancillary 2 6 8Special Programs 289 210 60 283 90 932

Dermatology 4 2 6General Surgery 1,019 296 9 19 1,343Mental Health 8 8

Optometry 40 2 7 49Orthopedics 523 103 32 13 25 696

Otolaryngology 1 1Primary Care 9,708 1,220 370 2 137 310 11,747

Other 108 83 37 1 560 789Total 11,702 1,916 521 2 434 1,004 15,579






Product LinePrime -


Not Enrolled Total

Ancillary 2 2 2 6Special Programs 242 59 15 284 44 644

Dermatology 3 2 5General Surgery 198 33 3 8 242IM Subspecialty 3 3

Optometry 1 1Orthopedics 1,488 427 85 30 81 2,111

Otolaryngology 6 6Primary Care 6,328 2,021 336 4 257 521 9,467

Other 82 576 78 6 704 1,446Total 8,352 3,117 517 4 579 1,362 13,931



Product LinePrime -


Not Enrolled Total

Ancillary 4 4Special Programs 185 25 10 379 33 632

Dermatology 8 2 10General Surgery 155 20 5 3 183

Optometry 2 1 3Orthopedics 1,617 209 106 27 85 2,044

Otolaryngology 7 4 11Primary Care 6,273 2,218 454 4 311 556 9,816

Other 166 431 60 4 572 1,233Total 8,417 2,905 640 4 721 1,249 13,936






Product LinePrime -


Not Enrolled Total

Special Programs 4 3 2 9Orthopedics 3 3Primary Care 373 131 30 2 28 564

Other 6 2 16 4 863 891Total 386 133 49 0 6 893 1,467



Product LinePrime -


Not Enrolled Total

Special Programs 16 17 2 2 1 38Orthopedics 2 2 4Primary Care 401 132 40 2 54 629

Other 6 2 25 3 1,027 1,063Total 425 153 67 0 7 1,082 1,734

NHC New England – FY18 Direct Care Top 20 RadiologyProcedures1 by Number of Services and Cost/Svc

FOUO42

1 Source: M2 Radiology Detail, includes both Technical and Professional services.


TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY COST/SVCProcedure FY 2018 Procedure FY 2018

Code Description # of Svcs Total RVU Full Cost Avg RVU Cost / Svc Code Description # of Svcs Total RVU Full Cost Avg RVU Cost / Svc77067 SCRN MAMMOG,BILAT,CAD WHN PERF 1,113 2,354.06 376,038$ 2.12 337.86$ 93970 EXTREMITY STUDY 5 15.64 2,498$ 3.13 499.67$ 71020 RAD EXM,CHEST,2,FRONTAL & LAT; 1,001 384.28 61,385$ 0.38 61.32$ 77066 DX MAMMOG,CAD WHEN PERF;BILAT 40 111.32 17,782$ 2.78 444.56$ 76856 US,PELV,REAL TME W IMG DOC;CMP 668 1,079.23 172,396$ 1.62 258.08$ 77067 SCRN MAMMOG,BILAT,CAD WHN PERF 1,113 2,354.06 376,038$ 2.12 337.86$ 73630 RAD EXM,FOOT;COMP, MIN 3 VIEWS 629 249.38 39,836$ 0.40 63.33$ 76805 ULTRASND >/=14WK 0 DAY; SNGL 7 14.55 2,324$ 2.08 332.03$ 71046 RADIOLOGIC EXAM,CHEST;2 VIEWS 549 241.26 38,539$ 0.44 70.20$ 77065 DX MAMMOG,CAD WHEN PERF;UNILAT 20 39.09 6,244$ 1.95 312.21$ 76641 ULTRASD,BREAST,UNILAT,IMG;COMP 517 799.99 127,791$ 1.55 247.18$ 76700 US,ABDM,REAL TME W IMG DOC;CMP 16 28.71 4,586$ 1.79 286.63$ 73610 RAD EXAM,ANK;COMP,MIN 3 VIEWS 475 210.33 33,600$ 0.44 70.74$ 76536 US,SOFT TISS HEAD/NCK 185 319.56 51,047$ 1.73 275.93$ 76705 US,ABDM,REAL TME W IMG DOC;LTD 415 557.84 89,109$ 1.34 214.72$ 93971 EXTREMITY STUDY 28 47.34 7,562$ 1.69 270.07$ 73564 RAD EXAM, KNEE; COMP, 4+ VIEWS 406 222.82 35,592$ 0.55 87.67$ 76770 US,RETROPRT,R TME W IMG DC;CMP 265 440.11 70,304$ 1.66 265.30$ 73030 RAD EXM,SHLDR;COMP,MIN 2 VIEW 389 163.77 26,161$ 0.42 67.25$ 76856 US,PELV,REAL TME W IMG DOC;CMP 668 1,079.23 172,396$ 1.62 258.08$ 73110 RAD EXM,WRIST;COMP,MIN 3 VIEWS 339 167.93 26,826$ 0.50 79.13$ 76641 ULTRASD,BREAST,UNILAT,IMG;COMP 517 799.99 127,791$ 1.55 247.18$ 73130 RAD EXAM, HAND; MIN OF 3 VIEWS 308 136.23 21,761$ 0.44 70.65$ 76705 US,ABDM,REAL TME W IMG DOC;LTD 415 557.84 89,109$ 1.34 214.72$ 76770 US,RETROPRT,R TME W IMG DC;CMP 265 440.11 70,304$ 1.66 265.30$ 76870 US EXAM, SCROTUM 114 108.17 17,279$ 0.95 151.57$ 72100 RAD EXM,SPINE,LUMBO; 2/3 VIEWS 226 111.36 17,789$ 0.49 78.71$ 72082 RAD EXM,SP,THOR&LUMB;2/3 VIEWS 90 82.95 13,250$ 0.92 147.23$ 73562 RADIOLOGIC EXAM, KNEE; 3 VIEWS 223 112.97 18,046$ 0.51 80.92$ 71048 RADIOLOG EXAM,CHEST;4/+ VIEWS 3 2.13 340$ 0.71 113.42$ 73502 RAD EXAM,HIP,UNILAT;2-3 VIEWS 213 121.15 19,352$ 0.57 90.86$ 72110 RAD EXM,SPINE,LUMBO;MIN 4 VIEW 119 81.55 13,027$ 0.69 109.47$ 73140 RAD EXAM,FINGER(S),MIN 2 VIEWS 199 89.39 14,279$ 0.45 71.75$ 71111 RAD EXM,RIB,BILAT;POSTER,MIN 4 21 14.00 2,236$ 0.67 106.49$ 76536 US,SOFT TISS HEAD/NCK 185 319.56 51,047$ 1.73 275.93$ 70330 X-RAY EXAM OF JAW JOINTS 2 1.31 209$ 0.66 104.63$ 71010 CHEST X-RAY 178 45.22 7,223$ 0.25 40.58$ 70260 RAD EXM,SKULL;COMP,MIN 4 VIEWS 2 1.26 201$ 0.63 100.64$ 72040 RADLOG EXM,SPIN,CERV;2/3 VIEWS 176 80.42 12,846$ 0.46 72.99$ 70150 RAD EXM,FACE BONES;COMP, MIN 3 5 3.08 492$ 0.62 98.40$


FOUO43




Code Description # of Svcs Total RVU Full Cost Avg RVU Cost / Svc Code Description # of Svcs Total RVU Full Cost Avg RVU Cost / Svc71046 RADIOLOGIC EXAM,CHEST;2 VIEWS 1,515 615.30 98,287$ 0.41 64.88$ 93970 EXTREMITY STUDY 7 17.51 2,797$ 2.50 399.58$ 71020 RAD EXM,CHEST,2,FRONTAL & LAT; 1,359 515.31 82,316$ 0.38 60.57$ 77066 DX MAMMOG,CAD WHEN PERF;BILAT 94 207.29 33,112$ 2.21 352.26$ 77067 SCRN MAMMOG,BILAT,CAD WHN PERF 1,281 2,236.59 357,273$ 1.75 278.90$ 77067 SCRN MAMMOG,BILAT,CAD WHN PERF 1,281 2,236.59 357,273$ 1.75 278.90$ 73630 RAD EXM,FOOT;COMP, MIN 3 VIEWS 998 398.59 63,671$ 0.40 63.80$ 77065 DX MAMMOG,CAD WHEN PERF;UNILAT 12 20.88 3,335$ 1.74 277.95$ 73564 RAD EXAM, KNEE; COMP, 4+ VIEWS 731 400.85 64,030$ 0.55 87.59$ 93971 EXTREMITY STUDY 30 50.79 8,113$ 1.69 270.44$ 73610 RAD EXAM,ANK;COMP,MIN 3 VIEWS 582 240.69 38,450$ 0.41 66.06$ 76700 US,ABDM,REAL TME W IMG DOC;CMP 34 57.18 9,134$ 1.68 268.64$ 76856 US,PELV,REAL TME W IMG DOC;CMP 546 796.40 127,217$ 1.46 233.00$ 76536 US,SOFT TISS HEAD/NCK 135 204.77 32,710$ 1.52 242.30$ 76705 US,ABDM,REAL TME W IMG DOC;LTD 461 566.63 90,514$ 1.23 196.34$ 76856 US,PELV,REAL TME W IMG DOC;CMP 546 796.40 127,217$ 1.46 233.00$ 73502 RAD EXAM,HIP,UNILAT;2-3 VIEWS 412 234.78 37,504$ 0.57 91.03$ 76770 US,RETROPRT,R TME W IMG DC;CMP 107 150.87 24,100$ 1.41 225.24$ 73130 RAD EXAM, HAND; MIN OF 3 VIEWS 394 164.23 26,234$ 0.42 66.58$ 76641 ULTRASD,BREAST,UNILAT,IMG;COMP 229 321.65 51,381$ 1.40 224.37$ 73110 RAD EXM,WRIST;COMP,MIN 3 VIEWS 348 159.46 25,473$ 0.46 73.20$ 76805 ULTRASND >/=14WK 0 DAY; SNGL 1 1.37 219$ 1.37 218.84$ 72100 RAD EXM,SPINE,LUMBO; 2/3 VIEWS 335 159.15 25,423$ 0.48 75.89$ 76100 X-RAY EXAM OF BODY SECTION 2 2.53 404$ 1.27 202.07$ 71045 RADIOLOG EXM,CHEST;SINGLE VIEW 334 84.02 13,420$ 0.25 40.18$ 76705 US,ABDM,REAL TME W IMG DOC;LTD 461 566.63 90,514$ 1.23 196.34$ 71010 CHEST X-RAY 317 82.13 13,118$ 0.26 41.38$ 76870 US EXAM, SCROTUM 98 91.40 14,600$ 0.93 148.98$ 73020 RADIOLOG EXAM,SHOULDER;1 VIEW 287 92.21 14,729$ 0.32 51.32$ 72082 RAD EXM,SP,THOR&LUMB;2/3 VIEWS 278 235.37 37,598$ 0.85 135.24$ 73030 RAD EXM,SHLDR;COMP,MIN 2 VIEW 283 101.50 16,213$ 0.36 57.29$ 77071 MAN APP,STRES,PHYS/OTH,JNT RAD 2 1.30 208$ 0.65 103.83$ 72082 RAD EXM,SP,THOR&LUMB;2/3 VIEWS 278 235.37 37,598$ 0.85 135.24$ 72110 RAD EXM,SPINE,LUMBO;MIN 4 VIEW 93 59.10 9,441$ 0.64 101.51$ 73590 RAD EXM;TIBIA & FIBULA,2 VIEWS 261 100.95 16,125$ 0.39 61.78$ 74022 RADIO EXAM ABDM,SNGL VIEW CHST 43 26.27 4,196$ 0.61 97.59$ 72040 RADLOG EXM,SPIN,CERV;2/3 VIEWS 234 106.14 16,955$ 0.45 72.46$ 73502 RAD EXAM,HIP,UNILAT;2-3 VIEWS 412 234.78 37,504$ 0.57 91.03$ 76641 ULTRASD,BREAST,UNILAT,IMG;COMP 229 321.65 51,381$ 1.40 224.37$ 77080 DXA,DENS STDY,1+SITE;AXIAL SK 209 118.10 18,866$ 0.57 90.27$


FOUO44




Code Description # of Svcs Total RVU Full Cost Avg RVU Cost / Svc Code Description # of Svcs Total RVU Full Cost Avg RVU Cost / Svc71010 CHEST X-RAY 435 160.95 25,709$ 0.37 59.10$ 72110 RAD EXM,SPINE,LUMBO;MIN 4 VIEW 10 9.20 1,470$ 0.92 146.96$ 71045 RADIOLOG EXM,CHEST;SINGLE VIEW 427 123.83 19,779$ 0.29 46.32$ 71111 RAD EXM,RIB,BILAT;POSTER,MIN 4 1 0.85 136$ 0.85 135.78$ 71020 RAD EXM,CHEST,2,FRONTAL & LAT; 106 49.82 7,958$ 0.47 75.08$ 73502 RAD EXAM,HIP,UNILAT;2-3 VIEWS 13 10.92 1,744$ 0.84 134.18$ 71046 RADIOLOGIC EXAM,CHEST;2 VIEWS 86 46.44 7,418$ 0.54 86.26$ 74022 RADIO EXAM ABDM,SNGL VIEW CHST 2 1.58 252$ 0.79 126.19$ 73630 RAD EXM,FOOT;COMP, MIN 3 VIEWS 49 28.27 4,516$ 0.58 92.16$ 73564 RAD EXAM, KNEE; COMP, 4+ VIEWS 7 5.53 883$ 0.79 126.19$ 73610 RAD EXAM,ANK;COMP,MIN 3 VIEWS 45 28.35 4,529$ 0.63 100.64$ 70150 RAD EXM,FACE BONES;COMP, MIN 3 1 0.78 125$ 0.78 124.60$ 73030 RAD EXM,SHLDR;COMP,MIN 2 VIEW 42 23.01 3,676$ 0.55 87.52$ 70200 RAD EXM;ORBITS,COMP,MIN 4 VIEW 1 0.78 125$ 0.78 124.60$ 73562 RADIOLOGIC EXAM, KNEE; 3 VIEWS 40 29.20 4,664$ 0.73 116.61$ 73110 RAD EXM,WRIST;COMP,MIN 3 VIEWS 27 19.77 3,158$ 0.73 116.97$ 73140 RAD EXAM,FINGER(S),MIN 2 VIEWS 31 21.64 3,457$ 0.70 111.51$ 73562 RADIOLOGIC EXAM, KNEE; 3 VIEWS 40 29.20 4,664$ 0.73 116.61$ 73130 RAD EXAM, HAND; MIN OF 3 VIEWS 29 18.35 2,931$ 0.63 101.07$ 71048 RADIOLOG EXAM,CHEST;4/+ VIEWS 1 0.71 113$ 0.71 113.42$ 73110 RAD EXM,WRIST;COMP,MIN 3 VIEWS 27 19.77 3,158$ 0.73 116.97$ 73050 X-RAY EXAM OF SHOULDERS 2 1.40 224$ 0.70 111.82$ 73502 RAD EXAM,HIP,UNILAT;2-3 VIEWS 13 10.92 1,744$ 0.84 134.18$ 73140 RAD EXAM,FINGER(S),MIN 2 VIEWS 31 21.64 3,457$ 0.70 111.51$ 73660 RAD EXM;TOE(S),MIN OF 2 VIEWS 13 7.78 1,243$ 0.60 95.60$ 71047 RADIOLOGIC EXAM,CHEST;3 VIEWS 6 4.14 661$ 0.69 110.22$ 73070 RADIOLOGIC EXAM,ELBOW; 2 VIEWS 11 5.83 931$ 0.53 84.66$ 70220 RAD EXM,SIN,PARANAS,COMP,MIN 3 1 0.69 110$ 0.69 110.22$ 72040 RADLOG EXM,SPIN,CERV;2/3 VIEWS 10 6.08 971$ 0.61 97.12$ 72100 RAD EXM,SPINE,LUMBO; 2/3 VIEWS 9 5.94 949$ 0.66 105.43$ 72110 RAD EXM,SPINE,LUMBO;MIN 4 VIEW 10 9.20 1,470$ 0.92 146.96$ 72202 RAD EXM,SACROILIAC JTS;3+ VIEW 1 0.65 104$ 0.65 103.83$ 72100 RAD EXM,SPINE,LUMBO; 2/3 VIEWS 9 5.94 949$ 0.66 105.43$ 71101 RAD EXM,RIB,UNIL;POSTERO,MIN 3 6 3.88 620$ 0.65 103.30$ 72070 RAD EXM,SPINE;THORACIC,2 VIEWS 8 5.04 805$ 0.63 100.64$ 72170 RAD EXAM, PELVIS; 1 OR 2 VIEWS 1 0.64 102$ 0.64 102.23$ 73564 RAD EXAM, KNEE; COMP, 4+ VIEWS 7 5.53 883$ 0.79 126.19$ 73130 RAD EXAM, HAND; MIN OF 3 VIEWS 29 18.35 2,931$ 0.63 101.07$ 71047 RADIOLOGIC EXAM,CHEST;3 VIEWS 6 4.14 661$ 0.69 110.22$ 72070 RAD EXM,SPINE;THORACIC,2 VIEWS 8 5.04 805$ 0.63 100.64$

NHC New England – Purchased Care Radiology1 Services by Product Line2 and Enrollment Category

FOUO45

1 Source: M2 TED Non-Institutional Detail (Procedure Code = 7****), includes both Technical and Professional services. Based on “Parent” PRISM.Prime-Site defined based on Enrollment Site Parent.

2 Inpatient defined as Service Type = I, otherwise based on standard Product Line (derived from Provider Specialty).

0100 NHC NEW ENGLAND PARENT PRISM AREA

FY 2017 RADIOLOGY SERVICES

Product LinePrime -


Not Enrolled Total

Inpatient 1,192 113 355 8,798 1,026 11,484Anesth 238 15 64 105 68 490

ENT 13 17 7 37ER 2,280 189 618 9,825 2,897 15,809

Facility 5,720 386 1,415 11,426 3,811 22,758IMSub 203 6 51 427 122 809

MH 11 2 13OBGYN 2,154 12 1,025 55 1,677 4,923Optom 69 29 287 35 420Ortho 791 46 445 1,995 952 4,229

PC 664 57 580 9,631 908 11,840Rad 7,598 474 2,514 10,337 5,304 26,227Surg 71 10 34 113 59 287

SurgSub 86 3 30 144 56 319Other 27 8 25 16 76None 47 1 23 388 104 563Total 21,153 1,312 7,191 0 53,584 17,044 100,284


FY 2018 RADIOLOGY SERVICES

Product LinePrime -


Not Enrolled Total

Inpatient 1,129 60 379 8,911 888 11,367Anesth 102 18 68 59 62 309

ENT 4 4 14 8 30ER 5,457 439 1,456 2 9,393 2,750 19,497

Facility 4,945 377 1,880 1 12,113 3,551 22,867IMSub 204 4 80 447 111 846

MH 2 2 4OBGYN 1,196 1 533 80 717 2,527Optom 50 1 25 258 52 386Ortho 844 63 501 2,629 1,046 5,083

PC 734 44 651 7,602 861 9,892Rad 6,612 462 2,953 1 12,364 4,802 27,194Surg 43 11 28 155 42 279

SurgSub 71 1 43 102 44 261Other 22 2 2 27 10 63None 48 2 98 648 110 906Total 21,461 1,485 8,701 4 54,804 15,056 101,511

NHC New England – FY18 Purchased Care Top 20 RadiologyProcedures1 by Number of Services and Paid/Svc

FOUO461 Source: M2 TED Non-Institutional Detail (Procedure Code = 7****), includes both Technical and Professional services. Based on “Parent” PRISM.

2 Purchased Care includes 13% increase for overhead burdening.

0100 NHC NEW ENGLAND PARENT PRISM AREA 0100 NHC NEW ENGLAND PARENT PRISM AREA

TOP 20 RADIOLOGY PROCEDURES BY VOLUME TOP 20 RADIOLOGY PROCEDURES BY PAID/SVCFY 2018 FY 2018

DescriptionNumber of

ServicesEnhancedTotal RVU

Amount Paid2 Avg RVU

Paid2 / Svc Description

Number ofServices

EnhancedTotal RVU

Amount Paid2 Avg RVU Paid2 / Svc

71046 RADIOLOGIC EXAM,CHEST;2 VIEWS 9,498 3,177.24 200,327$ 0.33 21.09$ 77372 SRS,CRN LS,1SESS;LIN ACCEL BSD 2 30.91 11,067$ 15.46 5,533.73$ 71045 RADIOLOG EXM,CHEST;SINGLE VIEW 4,168 987.05 33,705$ 0.24 8.09$ 77371 SRS,CRN LS,1SESS;MLT CBLT 60BS 4 137.56 6,003$ 34.39 1,500.64$ 70450 CT HEAD/BRAIN W/O CONTST MATRL 4,113 5,242.86 193,515$ 1.27 47.05$ 77523 PROTON TX DEL;INTERMEDIATE 33 0.00 44,147$ 0.00 1,337.78$ 74177 CT,ABDOM & PELV;W CONTRAST MAT 3,170 8,781.27 367,986$ 2.77 116.08$ 72295 DISCOGRPHY,LMBR,RAD SPRV&INTRP 6 3.51 6,015$ 0.59 1,002.46$ 71020 RAD EXM,CHEST,2,FRONTAL & LAT; 2,994 943.03 61,055$ 0.31 20.39$ 78804 TUMOR IMAGING, WHOLE BODY 3 15.10 2,882$ 5.03 960.70$ 77067 SCRN MAMMOG,BILAT,CAD WHN PERF 2,023 4,201.50 162,784$ 2.08 80.47$ 78266 GAS EMP IMG;SM BOWEL&COLN,MULT 2 13.82 1,547$ 6.91 773.29$ 73721 MRI,JNT,LOW EXT;WO CNTRST MAT 1,875 4,461.31 318,385$ 2.38 169.81$ 77373 STEREOTACTIC RAD TRMT DELIVERY 51 1,600.81 38,544$ 31.39 755.76$ 73630 RAD EXM,FOOT;COMP, MIN 3 VIEWS 1,826 898.79 29,075$ 0.49 15.92$ 73719 MAG RES IMG,LOW EXT,NO JT;W CM 2 9.58 1,418$ 4.79 709.01$ 71250 CT THORAX WO CONTRAST MATERIAL 1,771 3,778.28 79,965$ 2.13 45.15$ 78491 HEART IMAGE (PET), SINGLE 6 15.96 4,043$ 2.66 673.89$ 73030 RAD EXM,SHLDR;COMP,MIN 2 VIEW 1,737 844.13 24,383$ 0.49 14.04$ 78459 HEART MUSCLE IMAGING (PET) 6 15.17 3,554$ 2.53 592.32$ 73502 RAD EXAM,HIP,UNILAT;2-3 VIEWS 1,649 1,073.13 22,072$ 0.65 13.39$ 75573 CT,HRT,CONT,STRUC&MORP,HRT DIS 2 10.88 1,132$ 5.44 565.97$ 74176 CT,ABDOM & PELV;WO CONTRAS MAT 1,601 3,396.55 160,330$ 2.12 100.14$ 76498 UNLIST MAGNET RESONACE PROC 8 12.65 4,410$ 1.58 551.20$ 76830 US EXAM, TRANSVAGINAL 1,540 2,939.51 144,059$ 1.91 93.54$ 78814 PET W CONCUR ACQ CT;LIM AREA 5 67.28 2,666$ 13.46 533.13$ 73562 RADIOLOGIC EXAM, KNEE; 3 VIEWS 1,453 1,043.20 23,864$ 0.72 16.42$ 78802 RADIOPHARMACEU; WHOLE BODY 6 4.56 3,197$ 0.76 532.76$ 71260 CT THORAX W CONTRAST MATERIAL 1,445 3,406.60 127,524$ 2.36 88.25$ 73222 MRI JOINT UPR EXTREM W/ DYE 299 690.17 138,556$ 2.31 463.40$ 72148 MAGNETIC IMAGE, LUMBAR SPINE 1,435 3,850.50 178,785$ 2.68 124.59$ 73722 MAG RES IMG,ANY JT,LW EXT;W CM 108 335.29 48,528$ 3.10 449.33$ 71010 CHEST X-RAY 1,404 339.44 10,055$ 0.24 7.16$ 78808 INJ PX,RADPHAR,NO-IMG,INTRAVEN 1 0.00 443$ 0.00 443.39$ 76770 US,RETROPRT,R TME W IMG DC;CMP 1,310 1,647.45 74,067$ 1.26 56.54$ 78201 LIVER IMAGING 2 0.58 849$ 0.29 424.37$ 72100 RAD EXM,SPINE,LUMBO; 2/3 VIEWS 1,305 701.77 25,581$ 0.54 19.60$ 71552 MAG RES IMAG,CHEST;WO CONT MAT 13 47.92 5,077$ 3.69 390.51$ 70553 MAGNETIC IMAGE, BRAIN (MRI) 1,290 4,920.82 303,081$ 3.81 234.95$ 77301 RADIOLTHERAPY DOS PLAN, IMRT 101 2,649.91 38,892$ 26.24 385.07$

ProcedureCode

ProcedureCode

Laboratory

47Return to TOC

FOUO

NHC New England – Direct Care Laboratory1 Services by Ordering Product Line and Enrollment Category

FOUO481 Source: M2 Laboratory Detail, includes both Technical and Professional services. Prime-Site defined as Enrollment Site Parent equal to Tmt Parent.


0035 NBHC GROTON

FY 2017 LABORATORY SERVICESOrdering

Product LinePrime -


Not Enrolled Total

Dental 2 2Ancillary 20 7 37 1,416 1,480

Special Programs 8,373 3,134 514 4,021 3,033 19,075Dermatology 125 22 4 151

General Surgery 1,283 1,326 56 1 2,666Mental Health 425 107 14 14 560

Optometry 50 11 22 2 85Orthopedics 62 2 64

Otolaryngology 4 7 11Primary Care 114,364 15,632 4,857 4 2,291 4,167 141,315

Other 1,355 969 364 20 1,535 4,243TOTAL 126,063 21,217 5,868 4 6,332 10,168 169,652

0035 NBHC GROTON


Product LinePrime -


Not Enrolled Total

Dental 10 1 11Ancillary 2 4 5 1,278 1,289

Special Programs 8,864 3,031 405 3,969 2,504 18,773Dermatology 70 9 79

General Surgery 813 533 15 4 1,365IM Subspecialty 1,255 20 49 51 1,375Mental Health 469 111 73 2 655

Optometry 11 11Orthopedics 29 4 33

Otolaryngology 4 4Primary Care 92,598 12,288 4,432 6 1,665 4,724 115,713

Other 988 776 378 3 1,451 3,596TOTAL 105,102 16,777 5,368 6 5,688 9,963 142,904






Product LinePrime -


Not Enrolled Total

Dental 20 20 2 3 45Ancillary 1 815 816

Special Programs 3,807 62 109 3,175 728 7,881Dermatology 951 34 5 10 3 1,003

General Surgery 513 24 45 1 9 592Mental Health 390 56 6 35 487

Optometry 7 7 14Orthopedics 376 57 46 18 7 504

Otolaryngology 32 23 1 56Primary Care 61,139 24,547 4,749 29 4,975 6,615 102,054

Other 732 606 168 1,329 2,835TOTAL 67,967 25,429 5,131 29 8,180 9,551 116,287



Product LinePrime -


Not Enrolled Total

Dental 18 16 2 36Ancillary 3 915 918

Special Programs 3,942 67 145 3,167 591 7,912Dermatology 610 35 1 13 3 662

General Surgery 472 36 22 7 537IM Subspecialty 208 4 32 244Mental Health 848 108 265 20 1,241

Optometry 2 3 5 10Orthopedics 425 184 26 2 28 665

Otolaryngology 4 1 11 16Primary Care 44,281 16,160 4,672 42 4,262 14,277 83,694

Other 727 1,075 241 7 2,038 4,088TOTAL 51,540 17,685 5,383 42 7,494 17,879 100,023






Product LinePrime -


Not Enrolled Total

Ancillary 48 19 582 649Special Programs 1,295 346 90 513 85 2,329

Primary Care 15,398 2,251 920 279 1,407 20,255Other 365 73 954 14 12,373 13,779TOTAL 17,106 2,689 1,964 0 806 14,447 37,012



Product LinePrime -


Not Enrolled Total

Ancillary 96 4 512 612Special Programs 1,067 139 144 484 199 2,033

Dermatology 8 8Mental Health 20 20Primary Care 15,727 2,372 1,003 285 771 20,158

Other 181 29 1,064 21 12,848 14,143TOTAL 17,091 2,548 2,211 0 794 14,330 36,974






Product LinePrime -


Not Enrolled Total

Dental 1 1Ancillary 50 50

Special Programs 403 64 58 13 538Mental Health 7 7Primary Care 10,078 242 441 241 11,002

Other 180 180TOTAL 10,669 242 505 0 58 304 11,778



Product LinePrime -


Not Enrolled Total

Ancillary 67 67Special Programs 284 85 15 27 411

Primary Care 10,217 296 515 102 11,130Other 131 1 17 16 165TOTAL 10,632 297 617 0 15 212 11,773

NHC New England – FY18 Direct Care Top 20 LaboratoryProcedures1 by Number of Services and Cost/Svc

FOUO52

1 Source: M2 Laboratory Detail, includes both Technical and Professional services.


TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY COST/SVCProcedure FY 2018 Procedure FY 2018

Code Description # of Svcs Total RVU Full Cost Avg RVU Cost / Svc Code Description # of Svcs Total RVU Full Cost Avg RVU Cost / Svc86703 ANTIBDY;HIV-1 & HIV-2,SING RES 17,401 3,912.93 587,609$ 0.22 33.77$ 81403 MOLECULAR PATHOLOGY PROC,LEV 4 3 10.28 1,544$ 3.43 514.55$ 82947 GLUCOSE; QUANTITATIVE, BLOOD 6,206 310.96 46,706$ 0.05 7.53$ 88342 IMMUNOHIST/CYT;INIT SNG AB STN 1 3.07 461$ 3.07 460.99$ 82465 CHOLESTEROL,SERUM/WHOLE BLOOD 5,123 278.57 41,840$ 0.05 8.17$ 87529 HSV, DNA, AMP PROBE 1 1.20 180$ 1.20 180.19$ 84478 ASSAY OF TRIGLYCERIDES 5,013 1,075.98 161,568$ 0.21 32.23$ 87517 HEPATITIS B, DNA, QUANT 2 1.52 228$ 0.76 114.13$ 83718 ASSAY OF LIPOPROTEIN 4,975 295.95 44,449$ 0.06 8.93$ 87480 CANDIDA, DNA, DIR PROBE 267 181.99 27,327$ 0.68 102.35$ 84443 ASSAY THYROID STIM HORMONE 4,832 1,975.42 296,624$ 0.41 61.39$ 87510 GARDNER VAG, DNA, DIR PROBE 267 181.99 27,327$ 0.68 102.35$ 82565 ASSAY OF CREATININE 3,943 199.25 29,927$ 0.05 7.59$ 87660 INFCT AGNT,NUCL ACID;TRICH VAG 267 181.99 27,327$ 0.68 102.35$ 82310 ASSAY OF CALCIUM 3,884 194.27 29,179$ 0.05 7.51$ 80320 ALCOHOLS 87 57.67 8,660$ 0.66 99.54$ 84520 ASSAY OF UREA NITROGEN 3,869 194.75 29,251$ 0.05 7.56$ 80500 LAB PATHOLOGY CONSULTATION 1 0.64 96$ 0.64 96.10$ 84132 ASSAY OF SERUM POTASSIUM 3,827 191.43 28,753$ 0.05 7.51$ 82610 CYSTATIN C 1 0.51 77$ 0.51 76.58$ 82374 ASSAY, BLOOD CARBON DIOXIDE 3,817 190.94 28,679$ 0.05 7.51$ 87430 INF ANT DET; STREPTOCOCC,GRP A 820 380.68 57,165$ 0.46 69.71$ 84295 ASSAY OF SERUM SODIUM 3,816 190.89 28,672$ 0.05 7.51$ 89321 SEMEN ANAL;PRES & MOTIL SPERM 16 6.91 1,038$ 0.43 64.85$ 82435 ASSAY OF BLOOD CHLORIDE 3,815 190.83 28,663$ 0.05 7.51$ 80354 FENTANYL 5 2.15 323$ 0.43 64.57$ 82040 ASSAY OF SERUM ALBUMIN 3,776 188.88 28,370$ 0.05 7.51$ 87420 INF ANT DET;RESPIR SYNCYT VIR 27 11.47 1,722$ 0.42 63.79$ 84450 TRANSFERASE (AST) (SGOT) 3,755 187.75 28,200$ 0.05 7.51$ 86226 DNA ANTIBODY, SINGLE STRAND 1 0.42 63$ 0.42 63.07$ 84460 ALANINE AMINO (ALT) (SGPT) 3,755 187.75 28,200$ 0.05 7.51$ 87449 INF ANT DET,IMM;MUL,NOS,EA ORG 1 0.41 62$ 0.41 61.57$ 84155 ASSAY OF PROTEIN, SERUM 3,735 186.75 28,050$ 0.05 7.51$ 84443 ASSAY THYROID STIM HORMONE 4,832 1,975.42 296,624$ 0.41 61.39$ 82247 BILIRUBIN, TOTAL 3,700 186.20 27,967$ 0.05 7.56$ 82746 BLOOD FOLIC ACID SERUM 345 109.74 16,479$ 0.32 47.76$ 84075 ASSAY ALKALINE PHOSPHATASE 3,690 184.50 27,712$ 0.05 7.51$ 85025 COMPLETE CBC W/AUTO DIFF WBC 3,131 989.23 148,539$ 0.32 47.44$ 82248 BILIRUBIN, DIRECT 3,641 559.90 84,072$ 0.15 23.09$ 82728 ASSAY OF FERRITIN 944 289.80 43,518$ 0.31 46.10$


FOUO53




Code Description # of Svcs Total RVU Full Cost Avg RVU Cost / Svc Code Description # of Svcs Total RVU Full Cost Avg RVU Cost / Svc82947 GLUCOSE; QUANTITATIVE, BLOOD 4,472 263.98 39,648$ 0.06 8.87$ 85247 BLOOD CLOT FACTOR VIII TEST 1 0.79 119$ 0.79 118.63$ 84478 ASSAY OF TRIGLYCERIDES 3,447 482.31 72,427$ 0.14 21.01$ 87480 CANDIDA, DNA, DIR PROBE 224 153.28 23,016$ 0.68 102.75$ 82465 CHOLESTEROL,SERUM/WHOLE BLOOD 3,426 173.58 26,072$ 0.05 7.61$ 87510 GARDNER VAG, DNA, DIR PROBE 224 153.28 23,016$ 0.68 102.75$ 83718 ASSAY OF LIPOPROTEIN 3,419 175.75 26,397$ 0.05 7.72$ 87660 INFCT AGNT,NUCL ACID;TRICH VAG 224 153.28 23,016$ 0.68 102.75$ 82565 ASSAY OF CREATININE 2,710 137.95 20,720$ 0.05 7.65$ 80320 ALCOHOLS 155 104.49 15,691$ 0.67 101.23$ 86803 HEPATITIS C AB TEST 2,702 135.10 20,292$ 0.05 7.51$ 80500 LAB PATHOLOGY CONSULTATION 5 3.20 481$ 0.64 96.10$ 84520 ASSAY OF UREA NITROGEN 2,674 135.00 20,277$ 0.05 7.58$ 87430 INF ANT DET; STREPTOCOCC,GRP A 598 276.11 41,462$ 0.46 69.33$ 87340 INF AGT ANT DET,IMMUNO; HBSAG 2,663 133.15 19,999$ 0.05 7.51$ 86603 ADENOVIRUS ANTIBODY 15 6.85 1,029$ 0.46 68.57$ 82310 ASSAY OF CALCIUM 2,662 133.45 20,044$ 0.05 7.53$ 86703 ANTIBDY;HIV-1 & HIV-2,SING RES 10 4.38 658$ 0.44 65.77$ 84132 ASSAY OF SERUM POTASSIUM 2,637 219.13 32,907$ 0.08 12.48$ 87275 INF AG ANT,IMMUNOF;INFLU B VIR 131 56.46 8,478$ 0.43 64.72$ 84295 ASSAY OF SERUM SODIUM 2,622 228.39 34,296$ 0.09 13.08$ 87420 INF ANT DET;RESPIR SYNCYT VIR 19 8.09 1,215$ 0.43 63.94$ 82374 ASSAY, BLOOD CARBON DIOXIDE 2,619 228.06 34,246$ 0.09 13.08$ 85270 BLOOD CLOT FACTOR XI TEST 2 0.66 99$ 0.33 49.56$ 82435 ASSAY OF BLOOD CHLORIDE 2,618 131.30 19,721$ 0.05 7.53$ 89300 SEMEN ANALYSIS 37 11.68 1,754$ 0.32 47.40$ 82040 ASSAY OF SERUM ALBUMIN 2,437 124.49 18,698$ 0.05 7.67$ 80051 ELECTROLYTE PANEL 21 6.55 984$ 0.31 46.84$ 85660 RBC SICKLE CELL TEST 2,369 118.45 17,791$ 0.05 7.51$ 87077 CULT,BAC;AEROBIC,ADD ID,EA ISO 1 0.31 47$ 0.31 46.55$ 84450 TRANSFERASE (AST) (SGOT) 2,367 219.06 32,894$ 0.09 13.90$ 85025 COMPLETE CBC W/AUTO DIFF WBC 1,426 438.77 65,884$ 0.31 46.20$ 84460 ALANINE AMINO (ALT) (SGPT) 2,365 294.38 44,200$ 0.12 18.69$ 86688 HTLV-II ANTIBODY 2 0.59 89$ 0.30 44.30$ 82247 BILIRUBIN, TOTAL 2,346 120.42 18,087$ 0.05 7.71$ 84703 CHORIONIC GONADOTROPIN ASSAY 733 193.85 29,108$ 0.26 39.71$ 84155 ASSAY OF PROTEIN, SERUM 2,337 117.05 17,581$ 0.05 7.52$ 81025 URINE PREGNANCY TEST 1,026 245.67 36,891$ 0.24 35.96$ 86900 BLOOD TYPING, SEROLOGIC; ABO 2,335 116.75 17,536$ 0.05 7.51$ 83014 HELICOBACTER PYLORI; DRUG ADMN 28 6.36 955$ 0.23 34.11$


FOUO54




Code Description # of Svcs Total RVU Full Cost Avg RVU Cost / Svc Code Description # of Svcs Total RVU Full Cost Avg RVU Cost / Svc84450 TRANSFERASE (AST) (SGOT) 1,770 132.42 19,886$ 0.07 11.23$ 87480 CANDIDA, DNA, DIR PROBE 14 9.98 1,499$ 0.71 107.04$ 84460 ALANINE AMINO (ALT) (SGPT) 1,650 126.42 18,984$ 0.08 11.51$ 87510 GARDNER VAG, DNA, DIR PROBE 14 9.98 1,499$ 0.71 107.04$ 82247 BILIRUBIN, TOTAL 1,640 121.04 18,177$ 0.07 11.08$ 87660 INFCT AGNT,NUCL ACID;TRICH VAG 14 9.98 1,499$ 0.71 107.04$ 84075 ASSAY ALKALINE PHOSPHATASE 1,638 120.94 18,162$ 0.07 11.09$ 80500 LAB PATHOLOGY CONSULTATION 1 0.64 96$ 0.64 96.10$ 82565 ASSAY OF CREATININE 1,595 113.91 17,107$ 0.07 10.73$ 86703 ANTIBDY;HIV-1 & HIV-2,SING RES 4 1.98 297$ 0.50 74.33$ 84520 ASSAY OF UREA NITROGEN 1,387 69.35 10,416$ 0.05 7.51$ 87430 INF ANT DET; STREPTOCOCC,GRP A 186 87.04 13,071$ 0.47 70.27$ 81000 URINALYSIS, NONAUTO W/SCOPE 1,378 154.89 23,261$ 0.11 16.88$ 87275 INF AG ANT,IMMUNOF;INFLU B VIR 72 30.37 4,561$ 0.42 63.34$ 81001 URINALYSIS, AUTO W/SCOPE 1,378 154.89 23,261$ 0.11 16.88$ 87252 VIR ISL;TISS CULT INOC,CYTOPTH 3 0.99 149$ 0.33 49.55$ 81003 URINALYSIS, AUTO, W/O SCOPE 1,292 106.10 15,928$ 0.08 12.33$ 85025 COMPLETE CBC W/AUTO DIFF WBC 1,272 395.70 59,417$ 0.31 46.71$ 82947 GLUCOSE; QUANTITATIVE, BLOOD 1,273 63.65 9,560$ 0.05 7.51$ 86850 RBC ANTIBODY SCREEN 2 0.60 90$ 0.30 45.05$ 85025 COMPLETE CBC W/AUTO DIFF WBC 1,272 395.70 59,417$ 0.31 46.71$ 84703 CHORIONIC GONADOTROPIN ASSAY 22 6.02 904$ 0.27 41.09$ 85027 COMPLETE CBC, AUTOMATED 1,242 273.39 41,057$ 0.22 33.06$ 81025 URINE PREGNANCY TEST 90 21.60 3,244$ 0.24 36.04$ 82040 ASSAY OF SERUM ALBUMIN 1,067 53.35 8,013$ 0.05 7.51$ 83735 ASSAY OF MAGNESIUM 49 10.97 1,647$ 0.22 33.62$ 84155 ASSAY OF PROTEIN, SERUM 1,059 52.95 7,953$ 0.05 7.51$ 85004 BC; AUTOMATED DIFF WBC COUNT 49 10.96 1,646$ 0.22 33.59$ 83655 ASSAY OF LEAD 1,037 51.85 7,788$ 0.05 7.51$ 85027 COMPLETE CBC, AUTOMATED 1,242 273.39 41,057$ 0.22 33.06$ 84202 ASSAY RBC PROTOPORPHYRIN 1,024 51.20 7,690$ 0.05 7.51$ 86308 HETEROPHILE ANTIBODIES 32 5.80 871$ 0.18 27.22$ 82310 ASSAY OF CALCIUM 957 47.85 7,187$ 0.05 7.51$ 87210 SMR,PRI SRC;WET MT,INFECT AGNT 11 1.76 264$ 0.16 24.03$ 84132 ASSAY OF SERUM POTASSIUM 947 47.67 7,160$ 0.05 7.56$ 87206 SMR,FLUO &/OR AC FS ST BCT/FNG 4 0.52 78$ 0.13 19.52$ 82374 ASSAY, BLOOD CARBON DIOXIDE 943 47.24 7,095$ 0.05 7.52$ 85651 RBC SED RATE, NONAUTOMATED 94 11.68 1,754$ 0.12 18.66$ 82435 ASSAY OF BLOOD CHLORIDE 943 47.23 7,094$ 0.05 7.52$ 84999 CLINICAL CHEMISTRY TEST 97 11.85 1,779$ 0.12 18.35$


FOUO55




Code Description # of Svcs Total RVU Full Cost Avg RVU Cost / Svc Code Description # of Svcs Total RVU Full Cost Avg RVU Cost / Svc80061 LIPID PANEL 1,260 63.00 9,463$ 0.05 7.51$ 88302 LEV II-SRG PATH,GROS&MICRO EXM 4 3.44 517$ 0.86 129.14$ 82947 GLUCOSE; QUANTITATIVE, BLOOD 729 36.45 5,475$ 0.05 7.51$ 87480 CANDIDA, DNA, DIR PROBE 6 4.38 658$ 0.73 109.62$ 85041 BLD CNT; RBC COUNT AUTOMATED 610 30.50 4,581$ 0.05 7.51$ 87510 GARDNER VAG, DNA, DIR PROBE 6 4.38 658$ 0.73 109.62$ 85008 BL SMEAR W/O DIFF WBC COUNT 577 28.85 4,333$ 0.05 7.51$ 87660 INFCT AGNT,NUCL ACID;TRICH VAG 6 4.38 658$ 0.73 109.62$ 85009 MANUAL DIFF WBC COUNT B-COAT 577 28.85 4,333$ 0.05 7.51$ 88142 CYTOPATH, C/V, THIN LAYER 59 40.63 6,101$ 0.69 103.41$ 85014 BLD CNT; HEMATOCRIT 577 28.85 4,333$ 0.05 7.51$ 86703 ANTIBDY;HIV-1 & HIV-2,SING RES 4 1.98 297$ 0.50 74.33$ 85018 BLD CNT; HEMOGLOBIN 577 28.85 4,333$ 0.05 7.51$ 87430 INF ANT DET; STREPTOCOCC,GRP A 111 51.91 7,795$ 0.47 70.23$ 85048 BLD CNT; LEUKOCYTE, AUTOMATED 577 28.85 4,333$ 0.05 7.51$ 81025 URINE PREGNANCY TEST 92 22.08 3,316$ 0.24 36.04$ 85049 BLOOD COUNT; PLATELET, AUTO 577 28.85 4,333$ 0.05 7.51$ 80061 LIPID PANEL 1,260 63.00 9,463$ 0.05 7.51$ 85999 HEMATOLOGY PROCEDURE 577 28.85 4,333$ 0.05 7.51$ 81002 URINALYSIS NONAUTO W/O SCOPE 537 26.85 4,033$ 0.05 7.51$ 86359 T CELLS, TOTAL COUNT 577 28.85 4,333$ 0.05 7.51$ 82947 GLUCOSE; QUANTITATIVE, BLOOD 729 36.45 5,475$ 0.05 7.51$ 85027 COMPLETE CBC, AUTOMATED 570 28.50 4,281$ 0.05 7.51$ 85027 COMPLETE CBC, AUTOMATED 570 28.50 4,281$ 0.05 7.51$ 81002 URINALYSIS NONAUTO W/O SCOPE 537 26.85 4,033$ 0.05 7.51$ 85041 BLD CNT; RBC COUNT AUTOMATED 610 30.50 4,581$ 0.05 7.51$ 81015 MICROSCOPIC EXAM OF URINE 264 13.20 1,983$ 0.05 7.51$ 82040 ASSAY OF SERUM ALBUMIN 60 3.00 451$ 0.05 7.51$ 87491 CHYLMD TRACH, DNA, AMP PROBE 161 8.05 1,209$ 0.05 7.51$ 82043 ALBUMIN;URINE(MICROALB),QUANT 15 0.75 113$ 0.05 7.51$ 87591 N.GONORRHOEAE, DNA, AMP PROB 161 8.05 1,209$ 0.05 7.51$ 82247 BILIRUBIN, TOTAL 60 3.00 451$ 0.05 7.51$ 84443 ASSAY THYROID STIM HORMONE 138 6.90 1,036$ 0.05 7.51$ 82248 BILIRUBIN, DIRECT 60 3.00 451$ 0.05 7.51$ 86592 SYPHILIS TEST NON-TREP QUAL 113 5.65 849$ 0.05 7.51$ 82533 TOTAL CORTISOL 9 0.45 68$ 0.05 7.51$ 87430 INF ANT DET; STREPTOCOCC,GRP A 111 51.91 7,795$ 0.47 70.23$ 82607 VITAMIN B-12 12 0.60 90$ 0.05 7.51$ 80053 COMPREHENSIVE METABOLIC PANEL 107 5.35 804$ 0.05 7.51$ 82728 ASSAY OF FERRITIN 9 0.45 68$ 0.05 7.51$

NHC New England – Purchased Care Laboratory1 Services by Product Line2 and Enrollment Category

FOUO56

1 Source: M2 TED Non-Institutional Detail (Procedure Code = 8****), includes both Technical and Professional services. Based on “Parent” PRISM.Prime-Site defined based on Enrollment Site Parent.

2 Inpatient defined as Service Type = I, otherwise based on standard Product Line (derived from Provider Specialty).


FY 2017 LABORATORY SERVICES

Product LinePrime -


Not Enrolled Total

Inpatient 642 70 146 1,837 383 3,078Anesth 20 7 24 51Derm 303 23 24 729 209 1,288ENT 34 23 4 61ER 636 39 176 1,068 301 2,220

Facility 18,202 486 10,440 10,762 25,601 65,491IMSub 789 8 194 2,007 590 3,588

MH 7 5 10 22OBGYN 898 9 833 88 1,062 2,890Optom 128 23 701 122 974Ortho 10 39 13 62

PC 2,129 49 4,819 16,054 7,916 30,967Path 6,852 173 1,278 5,127 3,986 17,416Rad 9 22 248 33 312Surg 5 38 9 52

SurgSub 398 15 108 1,052 254 1,827Other 1 1 2 4None 8,653 249 5,211 2,684 13,977 30,774Total 39,711 1,121 23,285 0 42,466 54,494 161,077


FY 2018 LABORATORY SERVICES

Product LinePrime -


Not Enrolled Total

Inpatient 558 10 217 2,032 372 3,189Anesth 42 2 22 16 34 116Derm 313 6 35 611 204 1,169ENT 2 2ER 384 59 176 900 321 1,840

Facility 14,246 384 10,486 8,577 21,125 54,818IMSub 804 7 244 1,745 460 3,260

MH 7 10 2 9 28OBGYN 1,008 7 443 89 712 2,259Optom 72 2 40 713 115 942Ortho 15 5 44 15 79

PC 2,258 49 4,647 14,641 7,791 29,386Path 5,008 176 1,543 5,125 2,834 14,686Rad 6 21 228 24 279Surg 1 8 22 13 44

SurgSub 249 7 103 951 228 1,538Other 3 4 5 2 16 30None 10,273 543 5,456 2,684 14,120 33,076Total 35,247 1,266 23,453 0 38,382 48,393 146,741

NHC New England – FY18 Purchased Care Top 20 LaboratoryProcedures1 by Number of Services and Paid/Svc

FOUO571 Source: M2 TED Non-Institutional Detail (Procedure Code = 8****), includes both Technical and Professional services. Based on “Parent” PRISM.

2 Purchased Care includes 13% increase for overhead burdening.

0100 NHC NEW ENGLAND PARENT PRISM AREA 0100 NHC NEW ENGLAND PARENT PRISM AREA

TOP 20 LABORATORY PROCEDURES BY VOLUME TOP 20 LABORATORY PROCEDURES BY PAID/SVCFY 2018 FY 2018

DescriptionNumber of

ServicesEnhancedTotal RVU

Amount Paid2 Avg RVU

Paid2 / Svc Description

Number ofServices

Enhanced Total RVU

Amount Paid2 Avg RVU Paid2 / Svc

88305 LEV IV-SRG PATH,GROS&MICRO EXM 15,730 20,255.10 445,812$ 1.29 28.34$ 81416 EXOME;SEQ ANAL,EA COMPARAT EXO 2 199.98 11,300$ 99.99 5,650.00$ 85025 COMPLETE CBC W/AUTO DIFF WBC 7,202 1,997.49 56,648$ 0.28 7.87$ 81519 ONC(BRST),MRNA,RT-PCR,21 GENES 5 491.87 21,095$ 98.37 4,219.07$ 80053 COMPREHENSIVE METABOLIC PANEL 5,715 2,112.44 61,108$ 0.37 10.69$ 81415 EXOME; SEQUENCE ANALYSIS 1 99.99 3,603$ 99.99 3,603.16$ 80061 LIPID PANEL 4,512 2,410.02 65,887$ 0.53 14.60$ 81408 MOLECULAR PATHOLOGY PROC, LV 9 4 222.24 13,601$ 55.56 3,400.35$ 84443 ASSAY THYROID STIM HORMONE 3,966 2,360.22 78,650$ 0.60 19.83$ 81229 CYTO CON MICROAR ANAL;COPY&SNP 5 161.10 16,272$ 32.22 3,254.40$ 83036 HEMOGLOBIN; GLYCOSYLATED (A1C) 3,304 1,124.04 25,591$ 0.34 7.75$ 81228 CYTO CON MICROAR ANAL;COPY NUM 1 25.00 2,712$ 25.00 2,712.00$ 81003 URINALYSIS, AUTO, W/O SCOPE 3,287 271.06 4,964$ 0.08 1.51$ 81507 FET ANEUP,MAT PLAS,RSK,EA TRIS 3 22.08 6,689$ 7.36 2,229.71$ 86003 ALLERG SPEC IGE;QUANT/SEMI,EA 3,121 580.14 22,191$ 0.19 7.11$ 81223 CFTR GENE ANAL; FULL GENE SEQ 3 27.72 6,212$ 9.24 2,070.73$ 87880 STREP A ASSAY W/OPTIC 2,798 1,286.16 44,077$ 0.46 15.75$ 81211 BRCA1,2 GEN ANAL;FUL,COM,BRCA1 14 904.80 23,763$ 64.63 1,697.33$ 81002 URINALYSIS NONAUTO W/O SCOPE 2,616 261.50 4,395$ 0.10 1.68$ 81201 APC GENE ANAL;FULL GENE SEQ 4 65.01 6,344$ 16.25 1,585.96$ 82306 VITAMIN D, 25 HYDROXY 1,999 2,092.77 66,289$ 1.05 33.16$ 81220 CFTR GENE ANAL;COMMON VARIANTS 80 432.88 109,039$ 5.41 1,362.98$ 84439 ASSAY OF FREE THYROXINE 1,943 616.49 21,115$ 0.32 10.87$ 81405 MOLECULAR PATHOLOGY PROC,LEV 6 7 50.22 9,511$ 7.17 1,358.69$ 87491 CHYLMD TRACH, DNA, AMP PROBE 1,868 2,320.84 93,897$ 1.24 50.27$ 81406 MOLECULAR PATHOLOGY PROC,LEV 7 16 110.04 19,250$ 6.88 1,203.12$ 87591 N.GONORRHOEAE, DNA, AMP PROB 1,845 2,292.68 93,161$ 1.24 50.49$ 81599 UNLIST MULTANAL ASSAY,ALG ANAL 2 0.00 1,622$ 0.00 810.78$ 87086 CULT,BACT;QUANTIT COLONY COUNT 1,793 518.77 18,196$ 0.29 10.15$ 81420 FET CHR ANEUP GEN SEQ,13,18,21 26 562.16 19,702$ 21.62 757.75$ 85027 COMPLETE CBC, AUTOMATED 1,699 388.33 12,377$ 0.23 7.28$ 81162 BRCA1,BRCA2 GEN ANAL;FULL&DUP 8 507.81 5,918$ 63.48 739.71$ 87804 INFLUENZA ASSAY W/OPTIC 1,688 776.48 22,796$ 0.46 13.50$ 81302 MECP2 GENE ANAL; FULL SEQ ANAL 2 29.32 1,410$ 14.66 705.05$ 88341 IMMUNOHIS/CYTOCH;EA ADD AB STN 1,629 1,853.50 33,797$ 1.14 20.75$ 81378 HLA I&II,HI RES,HLA-A,B,C&DRB1 1 13.21 667$ 13.21 666.97$ 85610 PROTHROMBIN TIME 1,562 211.82 4,233$ 0.14 2.71$ 81379 HLA CLASS I,HI RESOLUT;COMPLET 1 11.50 622$ 11.50 622.27$ 88342 IMMUNOHIST/CYT;INIT SNG AB STN 1,541 2,673.32 73,595$ 1.73 47.76$ 87507 INF AGNT,DNA/RNA;GI,12-25 TARG 13 187.41 7,605$ 14.42 584.97$

ProcedureCode

ProcedureCode

Staffing

58Return to TOC

FOUO

NHC New England – Staffing1

All MEPRS Codes, No Limitation on Skill Type

591 Source: M2 MEPRS Personnel Detail. Based on Parent DMIS ID, information listed by Child DMIS ID. FOUO

2017 2018Tmt DMIS ID Name CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0100 0035 NBHC GROTON 143.7 22.5 234.2 400.3 134.6 20.5 239.4 394.4 0100 NHC NEW ENGLAND 138.8 16.2 238.7 393.7 139.4 16.5 234.1 390.0 0321 NBHC PORTSMOUTH 61.9 8.1 44.5 114.5 60.2 7.2 42.7 110.2 0328 NBHC SARATOGA SPRINGS 13.1 3.0 17.8 33.9 13.0 3.2 19.1 35.30100 Total 357.4 49.8 535.2 0.0 942.4 347.1 47.5 535.3 0.0 929.9

Assigned FTEsTmt Parent

DMIS IDTmt

DMIS ID

2017 2018Tmt DMIS ID Name CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

0100 0035 NBHC GROTON 116.0 17.7 197.0 0.1 330.7 108.6 16.7 207.3 0.1 332.7 0100 NHC NEW ENGLAND 119.3 14.7 210.0 0.1 344.1 119.9 15.2 208.7 0.0 343.9 0321 NBHC PORTSMOUTH 50.5 7.1 39.2 96.7 49.4 6.3 37.0 92.7 0328 NBHC SARATOGA SPRINGS 10.8 2.4 15.2 28.3 10.7 2.6 17.5 30.80100 Total 296.5 41.8 461.3 0.2 799.8 288.6 40.8 470.5 0.2 800.2

Available FTEsTmt Parent

DMIS IDTmt

DMIS ID

NHC New England – Staffing (Available FTEs)1

MEPRS B

601 Source: M2 MEPRS Personnel Detail. Based on Child DMIS ID. FOUO

0035 NBHC GROTON

Skill 2017 2018Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL1N INTERN-MEDICAL 0.0 0.0 0.0 0.01P PHYSICIAN 3.4 0.0 6.0 9.5 2.3 0.5 5.8 8.62N NURSE PRACTITIONER 1.6 0.7 1.6 3.9 1.5 0.9 1.7 4.12P PHYSICIAN ASSISTANT 0.0 0.1 0.1 0.1 0.12Z ALL OTHERS IN SKILL TYPE 2 6.1 4.4 7.3 17.8 5.9 3.8 6.5 16.23E NURSE CASE MANAGER 0.0 0.0 0.03R REGISTERED NURSE 10.3 1.7 2.9 14.9 8.9 1.7 3.9 14.44L LPN/LVN 6.6 6.6 5.1 5.14Z ALL OTHERS IN SKILL TYPE 4 3.9 3.1 72.7 79.7 4.1 3.0 73.2 80.35A ADMINISTRATORS 0.0 0.0 0.05C CLERICAL 1.7 1.7 1.7 1.75L LOGISTICS 0.0 0.05Z ALL OTHERS IN SKILL TYPE 5 0.9 1.5 1.9 4.3 0.9 1.7 1.9 4.5

34.5 11.5 92.5 0.0 138.6 30.2 11.6 93.1 0.0 134.9Grand Total


Skill 2017 2018Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL1N INTERN-MEDICAL 0.0 0.0 0.01P PHYSICIAN 2.9 8.6 11.5 2.5 7.5 10.02N NURSE PRACTITIONER 2.1 0.1 2.2 1.4 1.42P PHYSICIAN ASSISTANT 0.7 0.5 1.2 0.8 0.2 1.02S CLINICAL NURSE SPECIALIST 0.0 0.0 0.02Z ALL OTHERS IN SKILL TYPE 2 3.9 3.4 4.7 12.0 2.8 3.0 5.9 11.73H OCC HEALTH NURSE (NON-CRED) 0.7 0.7 0.4 0.43R REGISTERED NURSE 6.9 0.9 6.5 14.3 6.8 0.9 5.3 13.04L LPN/LVN 3.9 3.9 4.0 4.04Z ALL OTHERS IN SKILL TYPE 4 2.6 2.7 73.2 78.5 2.4 2.6 71.8 76.85A ADMINISTRATORS 0.0 0.05C CLERICAL 1.0 0.0 1.0 1.2 0.0 1.25Z ALL OTHERS IN SKILL TYPE 5 3.0 0.8 3.8 3.1 1.0 4.1

27.0 7.9 94.3 0.0 129.2 24.5 7.4 91.7 0.0 123.6Grand Total


MEPRS B



Skill 2017 2018Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

1P PHYSICIAN 1.2 0.5 2.3 3.9 1.7 2.0 3.72N NURSE PRACTITIONER 0.7 0.7 0.9 0.92P PHYSICIAN ASSISTANT 0.9 0.1 1.0 0.9 0.7 1.62Z ALL OTHERS IN SKILL TYPE 2 1.7 1.7 1.8 5.2 1.7 1.6 1.6 5.03H OCC HEALTH NURSE (NON-CRED) 0.8 0.8 1.2 1.23R REGISTERED NURSE 1.5 0.9 2.4 1.0 1.3 2.34L LPN/LVN 2.9 1.4 4.3 1.3 1.34Z ALL OTHERS IN SKILL TYPE 4 3.5 9.7 13.3 6.0 8.7 14.75C CLERICAL 2.1 2.1 2.4 2.45Z ALL OTHERS IN SKILL TYPE 5 0.9 0.2 1.0 0.8 0.3 1.1

16.2 3.5 15.0 0.0 34.7 16.6 2.9 14.6 0.0 34.1Grand Total


Skill 2017 2018Type Skill Type and Suffix Desc CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL1N INTERN-MEDICAL 0.0 0.0 0.01P PHYSICIAN 0.7 0.7 0.5 0.52N NURSE PRACTITIONER 0.8 0.8 0.9 0.92P PHYSICIAN ASSISTANT 0.0 0.0 0.0 0.02Z ALL OTHERS IN SKILL TYPE 2 0.6 1.3 1.9 0.7 0.4 1.13R REGISTERED NURSE 0.8 0.8 0.8 0.84L LPN/LVN 1.2 1.2 1.3 1.34Z ALL OTHERS IN SKILL TYPE 4 1.3 1.3 3.9 3.95C CLERICAL 0.0 0.05Z ALL OTHERS IN SKILL TYPE 5 0.0 0.0 0.0

2.1 1.4 3.4 0.0 6.9 2.2 1.5 4.7 0.0 8.5Grand Total


All MEPRS


0035 NBHC GROTON


1D DENTIST 1.7 7.4 9.1 1.7 8.6 10.31N INTERN-MEDICAL 0.0 0.0 0.0 0.01P PHYSICIAN 3.5 0.8 7.4 11.6 2.3 0.7 7.5 10.42N NURSE PRACTITIONER 1.6 0.7 1.7 4.1 1.5 0.9 1.8 4.12P PHYSICIAN ASSISTANT 0.0 0.1 0.1 0.2 0.22Z ALL OTHERS IN SKILL TYPE 2 8.8 6.3 9.1 24.2 8.3 5.2 8.1 21.73E NURSE CASE MANAGER 1.7 1.7 1.6 1.63R REGISTERED NURSE 12.7 1.7 3.3 17.6 11.4 1.7 4.5 17.54L LPN/LVN 6.6 6.6 5.1 5.14Z ALL OTHERS IN SKILL TYPE 4 18.1 6.6 152.8 0.1 177.6 16.8 6.5 157.2 0.1 180.65A ADMINISTRATORS 11.8 2.5 14.3 10.9 2.9 13.85C CLERICAL 23.2 23.2 21.9 21.95L LOGISTICS 5.5 1.9 7.4 5.7 2.4 8.15M MEDICAL RECORD AUDITOR/CODER 1.7 1.7 1.7 1.75Z ALL OTHERS IN SKILL TYPE 5 19.1 1.6 10.7 31.5 19.7 1.7 14.2 35.6

116.0 17.7 197.0 0.1 330.7 108.6 16.7 207.3 0.1 332.7Grand Total



1D DENTIST 0.9 1.5 6.3 8.7 0.8 1.8 5.8 8.41N INTERN-MEDICAL 0.1 0.1 0.01P PHYSICIAN 2.9 0.7 12.7 16.3 2.5 0.8 11.2 14.62N NURSE PRACTITIONER 2.1 0.1 2.2 1.4 0.0 1.42P PHYSICIAN ASSISTANT 0.7 0.6 1.3 0.8 0.3 1.22S CLINICAL NURSE SPECIALIST 0.0 0.0 0.02Z ALL OTHERS IN SKILL TYPE 2 6.4 3.7 9.7 19.8 5.3 3.2 10.6 19.13E NURSE CASE MANAGER 1.8 1.8 1.4 1.43H OCC HEALTH NURSE (NON-CRED) 0.7 0.7 0.4 0.43R REGISTERED NURSE 10.0 0.9 13.8 24.7 10.5 0.9 12.5 24.04L LPN/LVN 4.8 4.8 4.8 4.84Z ALL OTHERS IN SKILL TYPE 4 13.8 7.2 143.9 164.8 14.2 7.7 146.5 168.45A ADMINISTRATORS 12.5 7.9 20.4 12.8 5.7 18.55C CLERICAL 26.4 0.1 26.5 28.6 0.0 28.65L LOGISTICS 4.8 2.7 7.6 3.6 2.7 6.35Z ALL OTHERS IN SKILL TYPE 5 32.2 12.4 44.5 33.6 13.3 46.8

119.3 14.7 210.0 0.1 344.1 119.9 15.2 208.7 0.0 343.9Grand Total


All MEPRS




1D DENTIST 0.8 0.9 1.7 0.9 0.8 1.71P PHYSICIAN 1.2 0.5 3.1 4.7 1.7 2.8 4.52N NURSE PRACTITIONER 0.7 0.7 0.9 0.92P PHYSICIAN ASSISTANT 0.9 0.1 1.1 0.9 0.7 1.62Z ALL OTHERS IN SKILL TYPE 2 3.3 1.7 2.9 8.0 3.3 1.8 1.9 7.03E NURSE CASE MANAGER 0.8 0.8 0.8 0.83H OCC HEALTH NURSE (NON-CRED) 0.8 0.8 1.3 1.33R REGISTERED NURSE 1.7 0.9 2.6 1.1 1.3 2.44L LPN/LVN 3.0 1.4 4.4 1.3 1.34Z ALL OTHERS IN SKILL TYPE 4 8.9 2.6 25.7 37.2 11.2 2.3 22.6 36.15A ADMINISTRATORS 1.8 1.5 3.2 2.5 1.6 4.15C CLERICAL 9.2 9.2 8.1 8.15L LOGISTICS 1.7 0.4 2.2 1.7 1.0 2.75Z ALL OTHERS IN SKILL TYPE 5 16.2 3.7 19.9 16.0 4.2 20.2

50.5 7.1 39.2 0.0 96.7 49.4 6.3 37.0 0.0 92.7Grand Total



1D DENTIST 1.2 1.2 2.4 1.3 1.4 2.71N INTERN-MEDICAL 0.0 0.0 0.01P PHYSICIAN 1.3 1.3 1.1 1.12N NURSE PRACTITIONER 0.9 0.9 0.9 0.92P PHYSICIAN ASSISTANT 0.0 0.0 0.0 0.02Z ALL OTHERS IN SKILL TYPE 2 0.9 0.6 1.4 3.0 0.9 0.7 0.6 2.13R REGISTERED NURSE 0.9 0.9 0.8 0.84L LPN/LVN 2.1 2.1 2.2 2.24Z ALL OTHERS IN SKILL TYPE 4 1.7 0.9 11.2 13.8 1.4 1.1 14.5 17.05A ADMINISTRATORS 0.0 0.0 0.05C CLERICAL 3.0 3.0 3.2 3.25Z ALL OTHERS IN SKILL TYPE 5 1.0 0.0 1.0 0.8 0.8

10.8 2.4 15.2 0.0 28.3 10.7 2.6 17.5 0.0 30.8Grand Total

NHC New England – Skill Type 1P (Physician) byDoD Occupation Code1 (Available FTEs)

64

MEPRS BOnly


0035 NBHC GROTON

2017 2018CIV CON MIL OTH TOTAL CIV CON MIL OTH TOTAL

260107 DERMATOLOGY 0.1 0.1 0.1 0.1260109 GENERAL MEDICINE 0.0 0.6 0.6 0.0 0.5 0.2 0.7260111 FAMILY PRACTICE 1.8 1.6 3.3 0.8 2.4 3.2260116 OCCUPATIONAL MEDICINE 0.7 0.7 0.7 0.7260118 PEDIATRICS, SUBSPECIALTIES 0.0 0.0 0.0260119 OTORHINOLARYNGOLOGY 0.1 0.1 0.1 0.1260121 PEDIATRICS, GENERAL 1.7 1.7 1.3 1.3260125 PSYCHIATRY 0.0 0.8 0.8 0.1 0.8 1.0260127 RADIOLOGY, DIAGNOSTIC 0.0 0.0 0.0 0.0260129 UNDERSEA MEDICINE 0.6 0.6 0.1 0.1260130 GENERAL SURGERY 0.1 0.1 0.2 0.2260132 ORTHOPEDIC SURGERY 0.4 0.4 0.4 0.4260143 NEPHROLOGY 0.0 0.0 0.0 0.0260148 INTERNAL MEDICINE 0.9 0.9 0.8 0.8

3.4 0.0 6.0 0.0 9.5 2.3 0.5 5.8 0.0 8.6

DoD Occ Code

TOTAL

NHC New England – Skill Type 1P (Physician) byDoD Occupation Code1 (Available FTEs)

65

MEPRS BOnly




260104 ANESTHESIOLOGY 0.5 0.5 0.0260107 DERMATOLOGY 0.5 0.5 0.3 0.3260109 GENERAL MEDICINE 0.3 0.3 0.0 0.0260111 FAMILY PRACTICE 0.8 2.9 3.7 0.8 3.3 4.2260116 OCCUPATIONAL MEDICINE 0.0 0.0 0.0 0.0260117 OPHTHALMOLOGY 0.0 0.0 0.0 0.0260119 OTORHINOLARYNGOLOGY 0.4 0.4 0.1 0.1260121 PEDIATRICS, GENERAL 0.9 0.9 0.7 0.7260125 PSYCHIATRY 0.6 0.8 1.4 0.9 0.7 1.6260129 UNDERSEA MEDICINE 0.0 0.0 0.0 0.0260130 GENERAL SURGERY 1.2 1.2 0.6 0.6260132 ORTHOPEDIC SURGERY 1.3 1.3 1.2 1.2260148 INTERNAL MEDICINE 0.3 0.9 1.2 0.4 0.4260152 AVIATION/AEROSPACE MEDICINE NON-RESIDENCY TRAINED 0.3 0.3 0.9 0.9

2.9 0.0 8.6 0.0 11.5 2.5 0.0 7.5 0.0 10.0

DoD Occ Code

TOTAL



260109 GENERAL MEDICINE 0.5 0.1 0.5 0.0260111 FAMILY PRACTICE 0.8 0.0 0.9 0.8 0.0 0.8260116 OCCUPATIONAL MEDICINE 0.3 0.7 1.0 0.8 0.8 1.6260129 UNDERSEA MEDICINE 1.3 1.3 1.2 1.2260152 AVIATION/AEROSPACE MEDICINE NON-RESIDENCY TRAINED 0.2 0.2 0.0

1.2 0.5 2.3 0.0 3.9 1.7 0.0 2.0 0.0 3.7

DoD Occ Code

TOTAL



260129 UNDERSEA MEDICINE 0.7 0.7 0.5 0.50.0 0.0 0.7 0.0 0.7 0.0 0.0 0.5 0.0 0.5

DoD Occ Code

TOTAL

Eligible Population and Enrollment

66Return to TOC

FOUO

NHC New England – Eligibles and Enrollees1 byPRISM and Enrollment Site (Child)

671 Source: Eligibles = M2 DEERS Person Detail; Enrollees = M2 TRICARE Relationship Detail. Eligibles based on PRISM Area ID. Enrollees based on Enrollment Site

and ACV Group = Prime or Plus.2 Includes FM of Retired, Survivors, Other, Unknown, Inactive Guard/Reserve, FM of Inactive Guard/Reserve FOUO

PRISM (for Elig) / Enrollment Site (for Enr) FY ADFM RET OTHER2 AD TOTAL ADFM RET OTHER2 AD TOTAL0035 NBHC GROTON 2014 7,765 4,235 7,182 7,978 27,160 5,850 1,111 1,759 2,546 11,2650035 NBHC GROTON 2015 7,620 4,218 7,061 7,388 26,287 5,719 1,150 1,809 2,536 11,2140035 NBHC GROTON 2016 7,388 4,205 6,996 7,448 26,037 5,518 1,208 1,867 2,457 11,0500035 NBHC GROTON 2017 7,306 4,215 6,860 7,567 25,948 5,505 1,247 1,865 2,385 11,0020035 NBHC GROTON 2018 7,172 4,174 6,761 7,420 25,527 5,330 1,226 1,857 2,408 10,822 0100 NHC NEW ENGLAND 2014 4,687 4,450 7,667 3,828 20,632 3,284 1,018 1,437 3,167 8,9060100 NHC NEW ENGLAND 2015 4,555 4,419 7,575 3,681 20,230 3,252 984 1,402 2,829 8,4670100 NHC NEW ENGLAND 2016 4,461 4,351 7,656 3,734 20,202 3,117 971 1,355 2,847 8,2900100 NHC NEW ENGLAND 2017 4,389 4,310 7,593 3,616 19,907 3,078 977 1,307 2,750 8,1110100 NHC NEW ENGLAND 2018 4,209 4,312 7,389 3,706 19,614 2,816 924 1,304 2,584 7,628 0321 NBHC PORTSMOUTH 2014 1,918 2,927 4,480 1,543 10,868 1,071 240 357 1,055 2,7240321 NBHC PORTSMOUTH 2015 1,961 2,933 4,613 1,726 11,233 1,058 280 427 1,077 2,8420321 NBHC PORTSMOUTH 2016 1,948 2,900 4,671 1,781 11,300 938 306 466 1,091 2,8010321 NBHC PORTSMOUTH 2017 1,961 2,890 4,758 1,848 11,456 903 311 503 1,012 2,7280321 NBHC PORTSMOUTH 2018 1,956 2,883 4,755 1,781 11,374 686 280 412 971 2,349 0328 NBHC SARATOGA SPRINGS 2014 2,219 1,974 3,092 2,276 9,562 1 0 8 3,134 3,1430328 NBHC SARATOGA SPRINGS 2015 2,135 1,998 3,192 2,303 9,629 0 1 8 2,892 2,9010328 NBHC SARATOGA SPRINGS 2016 2,129 2,045 3,291 2,371 9,835 0 0 11 2,891 2,9020328 NBHC SARATOGA SPRINGS 2017 2,229 2,078 3,330 2,329 9,966 0 0 4 2,851 2,8560328 NBHC SARATOGA SPRINGS 2018 2,229 2,085 3,418 2,301 10,033 0 0 10 2,851 2,862

Eligibles Prime and Plus Enrolled

NHC New England – Eligibles1 by PRISM Area ID

681 Source: M2 DEERS Person Detail FOUO


Gender FY 0-4 5-14 15-17 18-24 25-34 35-44 45-64 65+ Total Gender FY ADFM RET OTHER AD Total2014 969 1,450 419 1,528 1,804 1,079 2,225 2,390 11,864 2014 5,290 138 5,792 644 11,8642015 949 1,426 408 1,446 1,806 1,075 2,176 2,390 11,675 2015 5,205 153 5,720 596 11,6752016 944 1,413 391 1,394 1,830 1,064 2,128 2,365 11,528 2016 5,077 161 5,639 651 11,5282017 937 1,444 366 1,375 1,836 1,077 2,091 2,371 11,498 2017 5,055 164 5,561 718 11,4982018 901 1,451 361 1,379 1,778 1,101 2,027 2,384 11,380 2018 4,944 160 5,511 765 11,380

2014 1,006 1,454 416 3,902 3,087 1,335 2,102 1,994 15,296 2014 2,475 4,097 1,390 7,334 15,2962015 998 1,434 391 3,503 2,952 1,276 2,076 1,982 14,612 2015 2,415 4,065 1,341 6,791 14,6122016 957 1,430 353 3,479 2,967 1,254 2,111 1,957 14,508 2016 2,311 4,044 1,356 6,797 14,5082017 964 1,391 343 3,502 2,917 1,261 2,111 1,958 14,446 2017 2,251 4,051 1,299 6,844 14,4462018 944 1,386 338 3,426 2,770 1,260 2,057 1,964 14,145 2018 2,228 4,014 1,250 6,654 14,145

2014 1,974 2,904 835 5,430 4,891 2,414 4,328 4,384 27,160 2014 7,765 4,235 7,182 7,978 27,1602015 1,947 2,860 799 4,949 4,759 2,350 4,252 4,372 26,287 2015 7,620 4,218 7,061 7,388 26,2872016 1,902 2,843 744 4,873 4,797 2,317 4,240 4,322 26,037 2016 7,388 4,205 6,996 7,448 26,0372017 1,901 2,835 710 4,880 4,753 2,338 4,202 4,329 25,948 2017 7,306 4,215 6,860 7,567 25,9482018 1,845 2,837 699 4,807 4,548 2,361 4,084 4,348 25,527 2018 7,172 4,174 6,761 7,420 25,527

Total Total

Gender by Age Group Gender by Ben Cat Common

Female Female

Male Male




Gender FY 0-4 5-14 15-17 18-24 25-34 35-44 45-64 65+ Total Gender FY ADFM RET OTHER AD Total2014 592 1,031 263 751 1,098 976 2,123 3,128 9,961 2014 3,061 268 5,990 643 9,9612015 587 1,017 261 705 1,112 936 2,044 3,144 9,807 2015 2,998 275 5,906 627 9,8072016 549 1,029 248 673 1,146 950 1,964 3,143 9,702 2016 2,884 278 5,892 649 9,7022017 525 1,011 252 652 1,117 949 1,905 3,131 9,541 2017 2,813 302 5,778 649 9,5412018 511 985 237 649 1,083 936 1,865 3,123 9,389 2018 2,724 317 5,698 650 9,389

2014 602 1,058 276 1,151 1,526 1,357 2,110 2,588 10,668 2014 1,626 4,181 1,677 3,185 10,6692015 571 1,029 261 1,082 1,507 1,347 2,009 2,616 10,421 2015 1,557 4,143 1,668 3,053 10,4222016 615 1,057 255 1,055 1,590 1,350 1,983 2,593 10,497 2016 1,577 4,072 1,763 3,085 10,4982017 588 1,077 241 1,030 1,590 1,346 1,948 2,543 10,364 2017 1,575 4,008 1,815 2,967 10,3652018 522 1,076 236 1,034 1,597 1,316 1,889 2,554 10,223 2018 1,485 3,993 1,691 3,056 10,224

2014 1,193 2,089 539 1,902 2,624 2,333 4,233 5,718 20,631 2014 4,687 4,450 7,667 3,828 20,6322015 1,158 2,045 522 1,787 2,619 2,283 4,053 5,761 20,229 2015 4,555 4,419 7,575 3,681 20,2302016 1,163 2,086 503 1,728 2,737 2,300 3,947 5,737 20,201 2016 4,461 4,351 7,656 3,734 20,2022017 1,113 2,088 493 1,683 2,707 2,295 3,854 5,675 19,906 2017 4,389 4,310 7,593 3,616 19,9072018 1,033 2,061 473 1,683 2,680 2,251 3,754 5,678 19,613 2018 4,209 4,312 7,389 3,706 19,614

Total Total


Female Female

Male Male




Gender FY 0-4 5-14 15-17 18-24 25-34 35-44 45-64 65+ Total Gender FY ADFM RET OTHER AD Total2014 261 450 126 419 518 358 1,128 2,028 5,288 2014 1,304 128 3,731 125 5,2882015 290 474 127 425 542 378 1,106 2,049 5,392 2015 1,336 144 3,785 128 5,3922016 288 490 123 404 561 397 1,071 2,044 5,378 2016 1,315 146 3,767 149 5,3772017 266 504 127 399 562 442 1,058 2,043 5,402 2017 1,308 156 3,795 142 5,4022018 266 528 142 385 544 452 1,031 2,035 5,383 2018 1,294 159 3,802 128 5,383

2014 252 450 132 611 843 435 1,038 1,818 5,580 2014 614 2,800 749 1,418 5,5802015 277 470 139 703 942 474 995 1,842 5,841 2015 625 2,789 828 1,599 5,8412016 290 482 149 714 991 502 978 1,817 5,923 2016 633 2,754 904 1,632 5,9232017 293 515 150 770 977 553 1,004 1,794 6,054 2017 653 2,734 962 1,705 6,0542018 302 532 143 767 923 550 992 1,781 5,991 2018 662 2,724 953 1,653 5,991

2014 513 900 258 1,030 1,362 793 2,166 3,847 10,868 2014 1,918 2,927 4,480 1,543 10,8682015 567 944 266 1,128 1,484 852 2,101 3,892 11,233 2015 1,961 2,933 4,613 1,726 11,2332016 578 972 272 1,118 1,552 899 2,049 3,860 11,300 2016 1,948 2,900 4,671 1,781 11,3002017 559 1,019 277 1,169 1,539 995 2,062 3,837 11,456 2017 1,961 2,890 4,758 1,848 11,4562018 568 1,060 285 1,153 1,467 1,003 2,023 3,816 11,374 2018 1,956 2,883 4,755 1,781 11,374

Total Total


Female Female

Male Male




Gender FY 0-4 5-14 15-17 18-24 25-34 35-44 45-64 65+ Total Gender FY ADFM RET OTHER AD Total2014 311 431 157 464 602 373 972 966 4,275 2014 1,501 130 2,440 204 4,2752015 311 418 148 445 627 375 958 989 4,271 2015 1,444 137 2,474 216 4,2712016 304 465 134 431 633 405 952 1,013 4,337 2016 1,430 147 2,527 232 4,3372017 297 517 130 443 651 419 953 1,044 4,453 2017 1,496 150 2,574 234 4,4532018 286 545 127 436 639 433 967 1,070 4,503 2018 1,485 151 2,641 227 4,503

2014 315 480 116 1,165 970 322 945 974 5,286 2014 718 1,845 652 2,072 5,2862015 315 485 120 1,126 1,033 359 927 993 5,358 2015 692 1,862 718 2,087 5,3582016 317 521 134 1,155 1,040 384 933 1,015 5,498 2016 698 1,897 763 2,139 5,4982017 333 520 153 1,081 1,039 406 954 1,028 5,513 2017 733 1,928 756 2,096 5,5132018 329 538 161 1,091 995 436 945 1,035 5,531 2018 744 1,934 778 2,074 5,531

2014 626 912 273 1,629 1,571 695 1,917 1,940 9,562 2014 2,219 1,974 3,092 2,276 9,5622015 626 903 267 1,571 1,660 734 1,886 1,982 9,629 2015 2,135 1,998 3,192 2,303 9,6292016 621 986 268 1,586 1,673 789 1,885 2,027 9,835 2016 2,129 2,045 3,291 2,371 9,8352017 630 1,036 283 1,524 1,691 825 1,906 2,071 9,966 2017 2,229 2,078 3,330 2,329 9,9662018 615 1,083 288 1,527 1,633 869 1,912 2,105 10,033 2018 2,229 2,085 3,418 2,301 10,033

Total Total


Female Female

Male Male

Update History

Version 1: New portfolio template. Direct Care costs for FY13 are based on FY13 MEPRS expenses; FY14 is based on FY13 MEPRS with inflation factors applied. May 2015.

Version 2: Updated FY14 data; added FY15 data; added Pharmacy, Radiology, and Laboratory data; added additional views of eligible data; added Ambulatory Surgery Top 20 Procedures. FY14 Direct Care Costs are based on FY14 MERPS expenses; FY15 Direct Care Costs are based on FY14 MEPRS with inflation factors applied. March 2016.

Version 3: Updated FY15 data; added FY16 data; added Appointment Data. FY15 Direct Care Costs are based on FY15 MEPRS expenses; FY16 Direct Care Costs are based on FY15 MEPRS with inflation factors applied. March 2017.

Version 4: Updated FY16 data; added FY17 data. FY16 Direct Care Costs are based on FY16 MEPRS expenses; FY17 Direct Care Costs are based on FY16 MEPRS with inflation factors applied. March 2018.

Version 5: Updated FY17 data; added FY18 data. FY17 Direct Care Costs are based on FY17 MEPRS expenses; FY18 Direct Care Costs are based on FY17 MEPRS with inflation factors applied. March 2019.

72FOUO

Documents

NHCNE Newport Use Case Volume II - Military Health System